Healthcare Provider Details

I. General information

NPI: 1942535760
Provider Name (Legal Business Name): AVID HEALTH AT HOME NORTH CAROLINA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2009
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

676 N SPENCE AVE
GOLDSBORO NC
27534-4234
US

IV. Provider business mailing address

1508 MILITARY CUTOFF RD STE 304
WILMINGTON NC
28403-5730
US

V. Phone/Fax

Practice location:
  • Phone: 919-647-9303
  • Fax: 910-521-8767
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberHC1158
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER LENTZ
Title or Position: CEO
Credential:
Phone: 910-728-4668