=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861164691
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BETTER LIVING HOME HEALTH CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/30/2021
-----------------------------------------------------
Last Update Date | 01/20/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 115 N MAIN ST STE 206
-----------------------------------------------------
City | MOUNT HOLLY
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28120-1793
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-953-7937
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2429 HARWOOD HILLS LN
-----------------------------------------------------
City | CHARLOTTE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28214-7666
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-953-7937
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | SHAQUETA CROWDER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 704-953-7937
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------