Healthcare Provider Details

I. General information

NPI: 1215698980
Provider Name (Legal Business Name): EHC HEALTH CAREER INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2022
Last Update Date: 01/19/2022
Certification Date: 01/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 FOUR LAKES DR STE H
MATTHEWS NC
28105-1743
US

IV. Provider business mailing address

1135 FOUR LAKES DR STE H
MATTHEWS NC
28105-1743
US

V. Phone/Fax

Practice location:
  • Phone: 704-249-2553
  • Fax: 980-242-3496
Mailing address:
  • Phone: 704-249-2553
  • Fax: 980-242-3496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ELLA MARIA GLOVER
Title or Position: OWNER
Credential:
Phone: 704-249-2553