Healthcare Provider Details

I. General information

NPI: 1932036928
Provider Name (Legal Business Name): HOME CARE OF THE ALBEMARLE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 N HUGHES BLVD
ELIZABETH CITY NC
27909-3542
US

IV. Provider business mailing address

104 TERRY ST
GREENVILLE NC
27858-8665
US

V. Phone/Fax

Practice location:
  • Phone: 252-312-2261
  • Fax:
Mailing address:
  • Phone: 252-312-2261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TISHIMA GRAMBY
Title or Position: OWNER
Credential:
Phone: 252-312-2261