Healthcare Provider Details

I. General information

NPI: 1629139035
Provider Name (Legal Business Name): HOMECARE MANAGEMENT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 06/25/2020
Certification Date: 06/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 WILKESBORO BLVD NE STE 2B
LENOIR NC
28645-4498
US

IV. Provider business mailing address

315 WILKESBORO BLVD NE STE 2B
LENOIR NC
28645-4498
US

V. Phone/Fax

Practice location:
  • Phone: 828-754-3665
  • Fax:
Mailing address:
  • Phone: 828-754-3665
  • Fax:

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 Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberHC1093
License Number StateNC

VIII. Authorized Official

Name: RANKIN ALLEN WHITTINGTON
Title or Position: PRESIDENT
Credential:
Phone: 828-754-3665