MEDICARE: OAK RIDGE SENIOR CARE SERVICES, INC.

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1124725114
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAK RIDGE SENIOR CARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	3859 BATTLEGROUND AVE STE 302
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-9802
Country	:	US
Telephone Number	:	336-815-7715
Fax Number	:	336-815-0016

Provider Business Practice Location Address
First Line	:	3859 BATTLEGROUND AVE STE 302
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-9802
Country	:	US
Telephone Number	:	336-815-7715
Fax Number	:	336-815-0016

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	QUINTON KOCHER
Credential	:
Telephone Number	:	336-462-4857

Provider Enumeration Date	:	02/10/2023
Last Update Date	:	06/18/2026

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