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General NPI Number Information
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NPI Number | 1356269864
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Entity Type | Organization
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Legal Business Name | CAROLINA HOMECARE GROUP, LLC
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 6640 W WILKINSON BLVD STE 200
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City | BELMONT
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State | NC
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Zip | 28012-2796
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Country | US
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Telephone | 980-890-7457
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Fax | 980-514-3101
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Provider Business Mailing Address
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Address Line | 3466 HENDERSON DR STE 27
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City | JACKSONVILLE
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State | NC
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Zip | 28546-5232
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Country | US
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Telephone | 910-729-6392
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | IRMEEN M ASHRAF
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Credential |
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Telephone | 510-579-8332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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