Organization
TAR HEEL HEALTH CARE SERVICES, LLC
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W NICHOLS (AUTHORIZED SIGNATORY)
(913) 814-2077
Entity
Organization
Contact information
Practice address
2111 N QUEEN ST STE C, KINSTON, NC 28501-1647
(252) 522-1458
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0078A
G2
—
05
—
1154358596
—
NC
05
—
3407124
—
NC
Enumeration date
06/28/2006
Last updated
04/06/2023
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