PROVIDENCE HOME HEALTHCARE COMPANY NPI 1861725749

NPI Information

NPI: 1861725749
Provider Name: PROVIDENCE HOME HEALTHCARE COMPANY
Classification: Technician - 3747P1801X
Entity Type: Organization

Specialization: Personal Care Attendant

Address:
530 E CENTRAL AVE
MOUNT HOLLY, NC
ZIP 28120
Phone: (704) 827-0037
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PROVIDENCE HOME HEALTHCARE COMPANY is a personal care attendant technician in Mount Holly, NC. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards PROVIDENCE HOME HEALTHCARE COMPANY NPI is 1861725749. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

530 E CENTRAL AVE
MOUNT HOLLY, NC
ZIP 28120-117
Phone: (704) 827-0037
Fax: (877) 582-3818

The provider's authorized official is Rolando Gutierrez .
The authorized official title is Owner and has the following contact phone number (704) 827-0037.

The enumeration date for this NPI number is 9/10/2009 and was last updated on 9/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3747P1801X	Technician	Personal Care Attendant	HC3882	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HC3882	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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