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NPI Code Detail

MEDICARE: CAROLINAS MEDICAL CENTER AT HOME, LLC

MEDICARE: CAROLINAS MEDICAL CENTER AT HOME, 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
1251E00000XHome Health AgencyHC0042NC

General Provider Information

NPI Number : 1144222365
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAROLINAS MEDICAL CENTER AT HOME, LLC
Provider Business Mailing Address
First Line : PO BOX 602259
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-2259
Country : US
Telephone Number : 704-512-2312
Fax Number : 704-512-4035
Provider Business Practice Location Address
First Line : 105 T R HARRIS DR
Second Line :
City : SHELBY
State : NC
Zip : 28150-3486
Country : US
Telephone Number : 704-487-5225
Fax Number : 704-484-4590
Authorized Official
Title or Position : PRESIDENT
Name : MS. MICHAEL ANTHONY STOLZENBACH
Credential :
Telephone Number : 704-591-2576
Provider Enumeration Date : 06/01/2005
Last Update Date : 12/03/2025

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