PROVIDENCE HOME HEALTHCARE COMPANY (NPI# 1033449566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033449566 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HOME HEALTHCARE COMPANY |
| Practice Address |
530 E Central Ave Mount Holly NC 28120-2286 |
| Practice Telephone | 7048204582 |
| Practice Fax Number | 8775823818 |
| Mailing Telephone | 7048204582 |
| Mailing Fax Number | 8775823818 |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |
| Authorized Official Name | MR. ROLANDO GUTIERREZ (AGENCY DIRECTOR) |
| Authorized Official Telephone | 7048204582 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | HC3882 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC DEPARTMENT OF HUMAN SERVICES | HC3882 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861725749 | Providence Home Healthcare Company | Technician | 530 E Central Ave, Mount Holly, NC 28120-2117 | 2009-09-10 |
| 1679803100 | Providence Home Healthcare Company | Durable Medical Equipment & Medical Supplies | 530 E Central Ave, Mount Holly, NC 28120-2286 | 2010-01-06 |
| Street Address |
530 E CENTRAL AVE |
| City | MOUNT HOLLY |
| State | NC |
| Zip Code | 28120-2286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861725749 | Providence Home Healthcare Company | Technician | 530 E Central Ave, Mount Holly, NC 28120-2117 | 2009-09-10 |
| 1679803100 | Providence Home Healthcare Company | Durable Medical Equipment & Medical Supplies | 530 E Central Ave, Mount Holly, NC 28120-2286 | 2010-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851775027 | Wesley Marsh | Dentist | 176 Palomino Trl, Mt Holly, NC 28120 | 2015-07-16 |
| 1407094642 | Kelly Lee Coney Pacious | Physical Therapist | 328 Whippoorwill Lane, Mount Holly, NC 28120 | 2009-01-26 |
| 1427183979 | Touched By Angels Home Healthcare, Inc. | Home Health | 16 Oak Grove St, Mt Holly, NC 28120 | 2007-02-23 |
| 1417052119 | Andrew Rogers Oblinger | Dentist | 247 W Catawba Ave, Mt Holly, NC 28120 | 2006-09-14 |
| 1437648334 | Moose Pharmacy of Mt Holly LLC | Durable Medical Equipment & Medical Supplies | 125 W Central Ave, Mount Holly, NC 28120 | 2018-05-07 |
| 1104898634 | Michael Alson Smith | Family Medicine | 305 W Catawba Ave, Mount Holly, NC 28120 | 2006-02-07 |
| 1972642049 | Woodlawn Haven, Inc | Assisted Living Facility | 301 Craig St, Mount Holly, NC 28120-1265 | 2007-02-06 |
| 1306455126 | A Place 4 Me, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5305 Clearwater Lake Rd, Mount Holly, NC 28120-1445 | 2020-07-28 |
| 1487946380 | Monica K Rendon | Specialist | 320 Langhorne Dr, Mt Holly, NC 28120-1452 | 2011-05-10 |
| 1033750674 | Amanda Marie Antczak | Counselor | 129 Maggie Dr, Mount Holly, NC 28120-1486 | 2019-10-04 |
| Find all providers in zip 28120 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458278 | Essential Living Home Care LLC | Nursing Care | 7633 Knightdale Blvd Ste 102, Knightdale, NC 27545-9015 | 2020-08-20 |
| 1720606122 | A Will To Live Home Health, LLC | Nursing Care | 109 South Elm Street Unit C, Creedmoor, NC 27522 | 2020-07-12 |
| 1265058242 | Fenominal Services, LLP | Nursing Care | 160 Charlotte Ave Ste A, Sanford, NC 27330-4318 | 2020-06-25 |
| 1831715085 | Isatou Camara | Nursing Care | 4009 Cane Garden Dr, Raleigh, NC 27610-5695 | 2020-06-23 |
| 1235751702 | Dixon Home Care Agency, L.L.C. (dhca) | Nursing Care | 1905 Hwy 58 S, Snow Hill, NC 28580-7205 | 2020-05-07 |
| 1922628130 | Zula M Price | Nursing Care | 2 Carlynn Ct, Greensboro, NC 27455-1407 | 2020-04-17 |
| 1629602099 | Compassion Nursing & Home Care | Nursing Care | 2015 Shorthorn St, Charlotte, NC 28213-5255 | 2020-02-25 |
| 1932730744 | Beach Haven Home Care LLC | Nursing Care | 4717 N Croatan Hwy Ste A, Kitty Hawk, NC 27949-8906 | 2020-01-30 |
| 1861022139 | Caring Hands Home-care Agency LLC | Nursing Care | 124 Unionville Indian Trail Rd W Ste B6, Indian Trail, NC 28079-5621 | 2020-01-24 |
| 1134759806 | Better Days Home Health Care, Inc | Nursing Care | 715a Morrow Ave, Pineville, NC 28134-6529 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT HOLLY |
| Zip Code | 28120 |
Please comment or provide details below to improve the information on PROVIDENCE HOME HEALTHCARE COMPANY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.