MEDICARE: ENHANCEMENT HEALTH 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	261QM0850X	Adult Mental Health Clinic/Center	MHL-032-589	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

General Provider Information

NPI Number	:	1477987857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENHANCEMENT HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	2402 SOUTH MIAMI BLVD
Second Line	:	105
City	:	DURHAM
State	:	NC
Zip	:	27703-4928
Country	:	US
Telephone Number	:	919-479-6600
Fax Number	:	919-479-1010

Provider Business Practice Location Address
First Line	:	2402 S MIAMI BLVD
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27703-4927
Country	:	US
Telephone Number	:	919-479-6600
Fax Number	:	919-479-1010

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. NATALIE LYNCH JONES
Credential	:
Telephone Number	:	919-479-6600

Provider Enumeration Date	:	08/21/2013
Last Update Date	:	03/17/2018

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