Healthcare Provider Details

I. General information

NPI: 1356405898
Provider Name (Legal Business Name): HOMECARE MANAGEMENT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 05/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5505 BUSINESS DR SUITE A
WILMINGTON NC
28405-8445
US

IV. Provider business mailing address

315 WILKESBORO BLVD NE SUITE 2A
LENOIR NC
28645-4498
US

V. Phone/Fax

Practice location:
  • Phone: 910-796-6741
  • Fax: 910-796-6751
Mailing address:
  • Phone: 828-754-3665
  • Fax: 828-757-3195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RANKIN A WHITTINGTON
Title or Position: PRESIDENT
Credential:
Phone: 828-754-3665