Organization
THERACARE HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY PIPPINS (MEMBER LLC)
(704) 930-9862
Entity
Organization
Contact information
Practice address
101 S TRYON ST STE 2700, CHARLOTTE, NC 28280-0005
(704) 749-8474
Mailing address
PO BOX 5423, CLOVER, SC 29710-5423
(704) 930-9862
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
HC2834
NC
253Z00000X
In Home Supportive Care Agency
HC2834
NC
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295145563
WELLCARE
NC
05
—
1295145563
—
NC
Enumeration date
05/07/2014
Last updated
09/13/2021
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