Healthcare Provider Details

I. General information

NPI: 1790842938
Provider Name (Legal Business Name): HOME HEALTH CONNECTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 03/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 COMMONWEALTH AVE SUITE 209
CHARLOTTE NC
28205-5100
US

IV. Provider business mailing address

2121 COMMONWEALTH AVE SUITE 209
CHARLOTTE NC
28205-5100
US

V. Phone/Fax

Practice location:
  • Phone: 704-334-8141
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: JOHN TURNER
Title or Position: CEO
Credential:
Phone: 704-334-8141