MEDICARE: RITE HOME HEALTH CARE SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1023483740
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RITE HOME HEALTH CARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	2750 E WT HARRIS BLVD
Second Line	:	SUITE 208
City	:	CHARLOTTE
State	:	NC
Zip	:	28213-4285
Country	:	US
Telephone Number	:	704-266-4486
Fax Number	:	704-266-4486

Provider Business Practice Location Address
First Line	:	2750 E WT HARRIS BLVD
Second Line	:	SUITE 208
City	:	CHARLOTTE
State	:	NC
Zip	:	28213-4285
Country	:	US
Telephone Number	:	704-266-4486
Fax Number	:	704-266-4486

Authorized Official
Title or Position	:	OWNER
Name	:	ENO FORRESTER
Credential	:	RN
Telephone Number	:	704-266-4486

Provider Enumeration Date	:	12/07/2015
Last Update Date	:	02/09/2017

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