Healthcare Provider Details

I. General information

NPI: 1730800947
Provider Name (Legal Business Name): A PLACE TO CALL HOME NC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2022
Last Update Date: 09/06/2022
Certification Date: 09/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5610 MEDICUS LN
HOPE MILLS NC
28348-8500
US

IV. Provider business mailing address

5610 MEDICUS LN
HOPE MILLS NC
28348-8500
US

V. Phone/Fax

Practice location:
  • Phone: 919-703-7073
  • Fax:
Mailing address:
  • Phone: 919-703-7073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: RENEE MICHELLE SANDERS
Title or Position: ORGANIZING MEMBER
Credential: RN
Phone: 919-703-7073