MEDICARE: CAROLYN SUE STEVENS

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1801735063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLYN SUE STEVENS

Provider Business Mailing Address
First Line	:	1010 ANDERSON PL SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20032-4404
Country	:	US
Telephone Number	:	202-841-5381
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 N WOODS RD
Second Line	:
City	:	HENDERSON
State	:	NC
Zip	:	27536-2651
Country	:	US
Telephone Number	:	202-841-5381
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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