Organization
CARE ADVANTAGE-NORTH CAROLINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY HANOLD (CEO)
(804) 323-9464
Entity
Organization
Contact information
Practice address
3231 AVENT FERRY RD STE 103, RALEIGH, NC 27606
(804) 323-9464
Mailing address
10041 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-4815
(804) 323-9464
(804) 331-0165
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
364SH0200X
Home Health Clinical Nurse Specialist
—
NC
3747P1801X
Personal Care Attendant
—
NC
374U00000X
Home Health Aide
Primary
—
NC
Other
Enumeration date
10/26/2017
Last updated
02/21/2023
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