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General NPI Number Information
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NPI Number | 1750233011
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Entity Type | Organization
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Legal Business Name | INTEGRICARE HOME HEALTH LLC
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 128 S TRYON ST STE 1900
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City | CHARLOTTE
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State | NC
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Zip | 28202-5009
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Country | US
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Telephone | 704-828-5746
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Fax |
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Provider Business Mailing Address
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Address Line | 128 S TRYON ST STE 1900
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City | CHARLOTTE
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State | NC
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Zip | 28202-5009
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | MARY EVANS
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Credential | RN
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Telephone | 704-828-5746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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