Healthcare Provider Details

I. General information

NPI: 1558048066
Provider Name (Legal Business Name): HEALTHCORE HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2023
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2949 NEW BERN AVE STE 108A
RALEIGH NC
27610-1248
US

IV. Provider business mailing address

2949 NEW BERN AVE STE 108A
RALEIGH NC
27610-1248
US

V. Phone/Fax

Practice location:
  • Phone: 919-890-5492
  • Fax:
Mailing address:
  • Phone: 919-890-5492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: DARLENE NICOLE LOWE
Title or Position: EVP BUSINESS MANAGER
Credential:
Phone: 919-500-3464