Healthcare Provider Details

I. General information

NPI: 1528412350
Provider Name (Legal Business Name): MERITORIOUS HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2016
Last Update Date: 07/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7204 WHITETAIL DR
JULIAN NC
27283-8303
US

IV. Provider business mailing address

7204 WHITETAIL DR
JULIAN NC
27283-8303
US

V. Phone/Fax

Practice location:
  • Phone: 336-892-5031
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberMHL-041-1126
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberMHL-041-1126
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License NumberMHL-041-1126
License Number StateNC

VIII. Authorized Official

Name: BARBARA B RHOADES
Title or Position: OWNER
Credential:
Phone: 336-337-5748