Organization
AVID HEALTH AT HOME NORTH CAROLINA
Active
Other names
Avid Health at Home NC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LENTZ (CEO)
(516) 458-6769
Entity
Organization
Contact information
Practice address
1508 MILITARY CUTOFF RD STE 304, WILMINGTON, NC 28403-5730
(910) 452-1555
(910) 343-0352
Mailing address
1508 MILITARY CUTOFF RD STE 304, WILMINGTON, NC 28403-5730
(910) 343-9996
(910) 343-0352
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC1231
NC
251J00000X
Nursing Care Agency
HC0088
NC
253Z00000X
In Home Supportive Care Agency
Primary
HC0088
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0077T
BCBS PDN
NC
05
—
3408345
—
NC
05
—
6600144
—
NC
05
—
6601424
—
NC
05
—
6601425
—
NC
05
—
6601426
—
NC
05
—
7100096
—
NC
05
—
7100103
—
NC
05
—
7100524
—
NC
05
—
7100525
—
NC
Enumeration date
10/18/2005
Last updated
12/31/2024
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