Healthcare Provider Details

I. General information

NPI: 1144117938
Provider Name (Legal Business Name): TELEHEALTH CAROLINA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BUFFALO AVE NW STE 1106
CONCORD NC
28025-4007
US

IV. Provider business mailing address

1 BUFFALO AVE NW STE 1106
CONCORD NC
28025-4007
US

V. Phone/Fax

Practice location:
  • Phone: 704-954-4663
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM OSBORNE
Title or Position: PRESIDENT
Credential: RRT-ACCS, RRT-NPS
Phone: 704-954-4663