Healthcare Provider Details

I. General information

NPI: 1548026578
Provider Name (Legal Business Name): CAROLINAS HOME CARE AGENCY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2024
Last Update Date: 02/27/2024
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 S CANAL ST
WHITEVILLE NC
28472-4256
US

IV. Provider business mailing address

PO BOX 1723
WHITEVILLE NC
28472-1723
US

V. Phone/Fax

Practice location:
  • Phone: 910-642-3700
  • Fax: 910-642-5146
Mailing address:
  • Phone: 910-642-3700
  • Fax: 910-642-5146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ALETHA YOUNG
Title or Position: REGIONAL DIRECTOR
Credential:
Phone: 910-642-3700