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General NPI Number Information
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NPI Number | 1770180150
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Entity Type | Organization
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Legal Business Name | NORTH CAROLINA PERSONAL CARE SERVICES LLC
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Dates
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Enumeration Date | 10/08/2020
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 411 PARKWAY ST STE D
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City | GREENSBORO
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State | NC
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Zip | 27401-1644
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Country | US
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Telephone | 336-604-0770
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Fax | 336-604-0752
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Provider Business Mailing Address
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Address Line | 411 PARKWAY ST STE D
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City | GREENSBORO
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State | NC
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Zip | 27401-1644
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Country | US
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Telephone | 336-604-0770
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Fax | 336-604-0752
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Authorized Official
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Title or Position | AGENCY DIRECTOR AND OWNER
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Name | MRS. CHIVA LEDAWN JENNINGS
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Credential | MHA
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Telephone | 336-858-9944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 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 #4
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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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