# SANDERS HOMECARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAROLINAS PROFESSIONAL COUNSELING & CONSULTING, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770173247
- **Legal business name:** CAROLINAS PROFESSIONAL COUNSELING & CONSULTING, PLLC
- **Authorized official:** SHELLY H SANDERS (OWNER/DIRECTOR)
- **Authorized official phone:** (980) 439-2672

## Contact information

- **Practice address:** 10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262-6001
- **Practice address phone:** (704) 497-1633
- **Practice address fax:** (704) 625-9084
- **Mailing address:** 10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262-6001
- **Mailing address phone:** (980) 439-2672
- **Mailing address fax:** (704) 625-9084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332U00000X | Home Delivered Meals | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 01/19/2021
- **Last updated:** 01/12/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1255794491 | — | NC |