MEDICARE: MYRIAD HOMECARE AGENCY, 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	385H00000X	Respite Care	HC4430	NC
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1750661492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MYRIAD HOMECARE AGENCY, LLC

Provider Business Mailing Address
First Line	:	PO BOX 363
Second Line	:
City	:	ROLESVILLE
State	:	NC
Zip	:	27571-0363
Country	:	US
Telephone Number	:	919-673-6910
Fax Number	:

Provider Business Practice Location Address
First Line	:	262 SOUTHTOWN CIR STE C
Second Line	:
City	:	ROLESVILLE
State	:	NC
Zip	:	27571-9593
Country	:	US
Telephone Number	:	919-673-6910
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MONTY MIDGETTE
Credential	:
Telephone Number	:	919-673-6910

Provider Enumeration Date	:	08/25/2011
Last Update Date	:	03/17/2022

Similar Medicare Providers

1780637496 — DR. STEPHEN J MERCKLE O.D.
Practice Location Address:

220 SOUTHTOWN CIR
ROLESVILLE, NC
27571-9593

Practice Phone: 919-554-2440
Practice Fax: 919-554-1571

1225072333 — DR. MATTHEW B. OSBORNE D.C.
Practice Location Address:

258 SOUTHTOWN CIRCLE
ROLESVILLE, NC
27571-9593

Practice Phone: 919-569-0199
Practice Fax: 919-570-8669

1710347315 — VIRGINIA POPE LPC
Practice Location Address:

262 SOUTHTOWN CIR
ROLESVILLE, NC
27571-9593

Practice Phone: 919-999-7457
Practice Fax:

1104384288 — MR. MATTHEW LOGAN GILL DC
Practice Location Address:

258 SOUTHTOWN CIR
ROLESVILLE, NC
27571-9593

Practice Phone: 919-569-0199
Practice Fax: 919-570-8669

1104441575 — MRS. VICTORIA FENNER HARRIS LCSWA
Practice Location Address:

262 SOUTHTOWN CIR
ROLESVILLE, NC
27571-9593

Practice Phone: 252-886-3176
Practice Fax:

1558987222 — TONI KENION FNP
Practice Location Address:

258 SOUTHTOWN CIR
ROLESVILLE, NC
27571-9593

Practice Phone: 919-435-1185
Practice Fax: 919-435-8548

Directions to “MYRIAD HOMECARE AGENCY, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.