Healthcare Provider Details

I. General information

NPI: 1144222365
Provider Name (Legal Business Name): CAROLINAS MEDICAL CENTER AT HOME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 T R HARRIS DR
SHELBY NC
28150-3486
US

IV. Provider business mailing address

PO BOX 602259
CHARLOTTE NC
28260-2259
US

V. Phone/Fax

Practice location:
  • Phone: 704-487-5225
  • Fax: 704-484-4590
Mailing address:
  • Phone: 704-512-2312
  • Fax: 704-512-4035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC0042
License Number StateNC

VIII. Authorized Official

Name: MS. MICHAEL ANTHONY STOLZENBACH
Title or Position: PRESIDENT
Credential:
Phone: 704-591-2576