Healthcare Provider Details

I. General information

NPI: 1487474912
Provider Name (Legal Business Name): CLAPP'S HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2024
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 S ELM EUGENE ST STE 6
GREENSBORO NC
27406-2871
US

IV. Provider business mailing address

1523 NEELLEY RD
PLEASANT GARDEN NC
27313-9230
US

V. Phone/Fax

Practice location:
  • Phone: 336-451-7678
  • Fax: 336-793-5985
Mailing address:
  • Phone: 336-451-7678
  • Fax: 336-793-5985

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MR. TYLER JOHN HMIEL
Title or Position: OWNER
Credential:
Phone: 336-451-7678