Healthcare Provider Details

I. General information

NPI: 1245161728
Provider Name (Legal Business Name): SOLID ROCK HOME CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3762 YORKSHIRE PL
TERRELL NC
28682-8761
US

IV. Provider business mailing address

3762 YORKSHIRE PL
TERRELL NC
28682-8761
US

V. Phone/Fax

Practice location:
  • Phone: 704-491-1557
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: CARLENA BRONSON
Title or Position: AGENCY DIRECTOR
Credential:
Phone: 704-491-1557