Organization
PROFESSIONAL CARE HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESIA MEDLEY (ADMINISTRATOR)
(704) 536-7326
Entity
Organization
Contact information
Practice address
2070 CLOVERDALE AVE, SUITE C, WINSTON-SALEM, NC 28215-5765
(336) 725-0755
Mailing address
2070 CLOVERDALE AVE, SUITE C, WINSTON-SALEM, NC 28215-5765
(336) 725-0755
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
DME-WINSTON
NC
Enumeration date
10/16/2008
Last updated
10/16/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up