Healthcare Provider Details

I. General information

NPI: 1235351578
Provider Name (Legal Business Name): CAROLINA HOME HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1728 FUNNY CIDE DR
WAXHAW NC
28173-8294
US

IV. Provider business mailing address

1728 FUNNY CIDE DR
WAXHAW NC
28173-8294
US

V. Phone/Fax

Practice location:
  • Phone: 704-548-8949
  • Fax: 704-594-9670
Mailing address:
  • Phone: 704-548-8949
  • Fax: 704-594-9670

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberHC2522
License Number StateNC

VIII. Authorized Official

Name: AMITA SATSANGI
Title or Position: DIRECTOR
Credential:
Phone: 704-548-8949