Healthcare Provider Details
I. General information
NPI: 1447390133
Provider Name (Legal Business Name): HOMES THAT CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2198 NC HIGHWAY 49 N
PROSPECT HILL NC
27314-9324
US
IV. Provider business mailing address
338 MAPLE AVE SUITE 2
BURLINGTON NC
27215-5851
US
V. Phone/Fax
- Phone: 336-562-5510
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 322D00000X |
| Taxonomy | Emotionally Disturbed Childrens' Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
INA
WHITTED
Title or Position: TREASURER
Credential:
Phone: 3363362272420