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
1	332B00000X	Durable Medical Equipment & Medical Supplies

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	:	1720214174
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINAS MEDICAL CENTER AT HOME, LLC

Provider Business Mailing Address
First Line	:	PO BOX 602262
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-2262
Country	:	US
Telephone Number	:	704-512-5231
Fax Number	:

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	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHAEL ANTHONY STOLZENBACH
Credential	:
Telephone Number	:	704-591-2576

Provider Enumeration Date	:	05/29/2009
Last Update Date	:	12/03/2025

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