MEDICARE: BUTTERFLY IN HOME CARE 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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1629856877
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUTTERFLY IN HOME CARE LLC

Provider Business Mailing Address
First Line	:	7209 E W T HARRIS BLVD STE J233
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28227-1063
Country	:	US
Telephone Number	:	704-610-7774
Fax Number	:

Provider Business Practice Location Address
First Line	:	4037 E INDEPENDENCE BLVD STE 407
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28205-3260
Country	:	US
Telephone Number	:	704-610-7774
Fax Number	:	704-413-3875

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SHENETTA L ROCK
Credential	:
Telephone Number	:	704-777-1997

Provider Enumeration Date	:	09/19/2023
Last Update Date	:	02/25/2025

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Directions to “BUTTERFLY IN HOME CARE LLC ” Practice Location

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