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Organization

TOTAL CARE HOME HEALTH OF NORTH CAROLINA, LLC

Active
Other names
CenterWell Home Health
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(913) 814-2077
Entity
Organization

Contact information

Practice address
11111 CARMEL COMMONS BLVD STE 350, CHARLOTTE, NC 28226-4561
(704) 543-1167
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0078-002
G2
01
00782
G2
01
00782-001
G2
05
1497782924
NC
01
20-0091422
G2
05
3437091
NC
Enumeration date
06/28/2006
Last updated
04/06/2023
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