Organization
INTERCARE HOME HEALTH SERVICE LLC
Active
Other names
Intercare (Home) Heath Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NGOZI NNAJI RN (DIRECTOR)
(704) 332-9880
Entity
Organization
Contact information
Practice address
311 W 24TH STREET, 311 W 24TH STREET, CHARLOTTE, NC 28206
(704) 332-9880
(704) 332-9890
Mailing address
311 W 24TH STREET, 311 W 24 STREET, CHARLOTTE, NC 28206
(704) 332-9880
(704) 332-9890
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
208IH0002X
NC
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366628885
—
NC
05
—
6601558
—
NC
Enumeration date
01/15/2008
Last updated
11/22/2023
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