Healthcare Provider Details

I. General information

NPI: 1225533714
Provider Name (Legal Business Name): AVID HEALTH AT HOME NORTH CAROLINA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2018
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2640 WILLARD DAIRY RD STE 106
HIGH POINT NC
27265-8709
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 919-948-3277
  • Fax:
Mailing address:
  • Phone: 910-338-5416
  • Fax: 910-362-9948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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