Healthcare Provider Details

I. General information

NPI: 1215877576
Provider Name (Legal Business Name): EMBRACING LIGHT HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 DEERFIELD DR
SPRING LAKE NC
28390-1536
US

IV. Provider business mailing address

102 DEERFIELD DR
SPRING LAKE NC
28390-1536
US

V. Phone/Fax

Practice location:
  • Phone: 252-723-0525
  • Fax: 252-723-0525
Mailing address:
  • Phone: 252-723-0525
  • Fax: 252-723-0525

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: RACHQUEL JONES
Title or Position: DIRECTOR
Credential: MSW
Phone: 252-723-0525