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Organization
HOMECARE FOR THE CAROLINAS CLINIC
Active
Organization
HOMECARE FOR THE CAROLINAS CLINIC
Active
Other names
HomeCare for the Carolinas Clinic, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA NEELY (BILLING DIRECTOR)
(704) 335-8488
Entity
Organization
Contact information
Practice address
4301 MORRIS PARK DR STE 14, MINT HILL, NC 28227-8253
(704) 335-8488
Mailing address
13048 ODELL HEIGHTS DR, MINT HILL, NC 28227-4388
(704) 724-7041
(704) 335-8477
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669868972
—
NC
05
—
1841681558
—
NC
Enumeration date
04/13/2015
Last updated
02/19/2025
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