MEDICARE: A VHS HOME CARE 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	:	1144169277
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A VHS HOME CARE INC

Provider Business Mailing Address
First Line	:	2332 BEATTIES FORD RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-4314
Country	:	US
Telephone Number	:	704-301-8399
Fax Number	:	704-536-4373

Provider Business Practice Location Address
First Line	:	2332 BEATTIES FORD RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-4314
Country	:	US
Telephone Number	:	704-301-8399
Fax Number	:	704-536-4373

Authorized Official
Title or Position	:	AGENCY DIRECTOR
Name	:	MR. CASEY C IFEDI
Credential	:
Telephone Number	:	704-301-8399

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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