MEDICARE: CARE FOR LIFE HOME CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	347C00000X	Private Vehicle
3	385H00000X	Respite Care
4	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1649877499
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE FOR LIFE HOME CARE

Provider Business Mailing Address
First Line	:	2229 SPRINGHILL AVE
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27603-7729
Country	:	US
Telephone Number	:	919-539-5155
Fax Number	:

Provider Business Practice Location Address
First Line	:	1140 KILDAIRE FARM RD STE 108
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27511-4596
Country	:	US
Telephone Number	:	919-539-5155
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DESMONA BOATENG
Credential	:
Telephone Number	:	919-539-5155

Provider Enumeration Date	:	10/05/2020
Last Update Date	:	04/20/2026

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Directions to “CARE FOR LIFE HOME CARE ” Practice Location

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