Healthcare Provider Details

I. General information

NPI: 1811672751
Provider Name (Legal Business Name): HEALTHCORE HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2023
Last Update Date: 06/19/2023
Certification Date: 06/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4210 N ROXBORO ST STE 120B
DURHAM NC
27704-1875
US

IV. Provider business mailing address

2949 NEW BERN AVE STE 108A
RALEIGH NC
27610-1248
US

V. Phone/Fax

Practice location:
  • Phone: 919-500-3464
  • Fax: 919-800-3971
Mailing address:
  • Phone: 919-500-3464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: DARLENE NICOLE LOWE
Title or Position: MANAGER
Credential:
Phone: 919-500-3464