MEDICARE: NO PLACE LIKE 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	:	1992476972
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NO PLACE LIKE HOME CARE LLC

Provider Business Mailing Address
First Line	:	2525 DISTRIBUTION ST STE 4
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28203-5027
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 DISTRIBUTION ST STE 4
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28203-5027
Country	:	US
Telephone Number	:	757-761-4153
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	FALLON SMITH
Credential	:
Telephone Number	:	757-761-4153

Provider Enumeration Date	:	09/21/2021
Last Update Date	:	09/21/2021

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Directions to “NO PLACE LIKE HOME CARE LLC ” Practice Location

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