Healthcare Provider Details

I. General information

NPI: 1922912310
Provider Name (Legal Business Name): JOHNSON FAMILY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N ELM ST APT 602
GREENSBORO NC
27401-2827
US

IV. Provider business mailing address

100 N ELM ST APT 602
GREENSBORO NC
27401-2827
US

V. Phone/Fax

Practice location:
  • Phone: 336-541-6224
  • Fax:
Mailing address:
  • Phone: 336-541-6224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TERRI MONTREL JOHNSON
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 336-935-5651