=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144185323
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LENVORA HOME CARE SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/19/2025
-----------------------------------------------------
Last Update Date | 12/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5116 ARBORDALE WAY STE A
-----------------------------------------------------
City | MOUNT HOLLY
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28120-0359
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-232-6220
-----------------------------------------------------
Fax | 704-831-5349
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5116 ARBORDALE WAY STE A
-----------------------------------------------------
City | MOUNT HOLLY
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28120-0359
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-232-6220
-----------------------------------------------------
Fax | 704-831-5349
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/ADMINISTRATOR
-----------------------------------------------------
Name | MS. WAADE AMY ZONEN
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 704-232-6220
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------