Healthcare Provider Details

I. General information

NPI: 1992609242
Provider Name (Legal Business Name): ENANA HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3899 QUIET STREAM DR
CONCORD NC
28025-9025
US

IV. Provider business mailing address

3899 QUIET STREAM DR
CONCORD NC
28025-9025
US

V. Phone/Fax

Practice location:
  • Phone: 704-785-4253
  • Fax:
Mailing address:
  • Phone: 704-785-4253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: SHEWAYE TSEGA
Title or Position: RN
Credential: RN
Phone: 704-785-4253