# HOMECARE FOR THE CAROLINAS CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HomeCare for the Carolinas Clinic, P.A.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669868972
- **Authorized official:** TAMARA NEELY (BILLING DIRECTOR)
- **Authorized official phone:** (704) 335-8488

## Contact information

- **Practice address:** 4301 MORRIS PARK DR STE 14, MINT HILL, NC 28227-8253
- **Practice address phone:** (704) 335-8488
- **Mailing address:** 13048 ODELL HEIGHTS DR, MINT HILL, NC 28227-4388
- **Mailing address phone:** (704) 724-7041
- **Mailing address fax:** (704) 335-8477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/13/2015
- **Last updated:** 02/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1669868972 | — | NC |
| 05 | — | 1841681558 | — | NC |