Organization
IGNITING LIVES HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA ISABELLA OCHOA (AGENCY DIRECTOR)
(980) 322-4228
Entity
Organization
Contact information
Practice address
9711 WINGED TRAIL CT, CHARLOTTE, NC 28277-4695
(980) 322-4228
Mailing address
9711 WINGED TRAIL CT, CHARLOTTE, NC 28277-4695
(980) 322-4228
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
09/07/2017
Last updated
07/21/2022
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