Healthcare Provider Details

I. General information

NPI: 1144185323
Provider Name (Legal Business Name): LENVORA HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5116 ARBORDALE WAY STE A
MOUNT HOLLY NC
28120-0359
US

IV. Provider business mailing address

5116 ARBORDALE WAY STE A
MOUNT HOLLY NC
28120-0359
US

V. Phone/Fax

Practice location:
  • Phone: 704-232-6220
  • Fax: 704-831-5349
Mailing address:
  • Phone: 704-232-6220
  • Fax: 704-831-5349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. WAADE AMY ZONEN
Title or Position: OWNER/ADMINISTRATOR
Credential: RN
Phone: 704-232-6220