Healthcare Provider Details

I. General information

NPI: 1689160632
Provider Name (Legal Business Name): YOUR HOME COURT ADVANTAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2018
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3721 WHIPPLE AVE NW SUITE B
CANTON OH
44718-2933
US

IV. Provider business mailing address

4000 PARAMOUNT PKWY SUITE 100
MORRISVILLE NC
27560-4702
US

V. Phone/Fax

Practice location:
  • Phone: 330-587-5587
  • Fax: 330-587-5588
Mailing address:
  • Phone: 919-390-2980
  • Fax: 919-390-1888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KENNETH DUARTE
Title or Position: CFO
Credential:
Phone: 336-553-5912