MEDICARE: HOMECARE NURSING, 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	251E00000X	Home Health Agency	HC2288	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255495156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOMECARE NURSING, INC.

Provider Business Mailing Address
First Line	:	943 W ANDREWS AVE
Second Line	:	SUITE G
City	:	HENDERSON
State	:	NC
Zip	:	27536-2516
Country	:	US
Telephone Number	:	252-438-5309
Fax Number	:

Provider Business Practice Location Address
First Line	:	943 W ANDREWS AVE
Second Line	:	SUITE G
City	:	HENDERSON
State	:	NC
Zip	:	27536-2516
Country	:	US
Telephone Number	:	252-438-5309
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. ISAAC NWAKPUDA
Credential	:	RN
Telephone Number	:	252-438-5309

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	08/22/2020

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