Healthcare Provider Details

I. General information

NPI: 1336711696
Provider Name (Legal Business Name): HOMES2ANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2021
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12840 BUCK RD
MIDDLESEX NC
27557-8497
US

IV. Provider business mailing address

12840 BUCK RD
MIDDLESEX NC
27557-8497
US

V. Phone/Fax

Practice location:
  • Phone: 862-298-8667
  • Fax:
Mailing address:
  • Phone: 862-298-8667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MRS. YANYA AMAECHI
Title or Position: PRESIDENT/ADMINISTRATOR
Credential:
Phone: 862-298-8667