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Organization

CLASSIC HOME HEALTH CARE AND COUNSELING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA MATHIS (OWNER)
(919) 637-3196
Entity
Organization

Contact information

Practice address
8601 SIX FORKS RD, RALEIGH, NC 27615-5276
(919) 637-3196
Mailing address
1405 KINGS CREST LN, RALEIGH, NC 27614-8056
(919) 637-3196

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
251F00000X
Home Infusion Agency
Primary
251J00000X
Nursing Care Agency
251T00000X
PACE Provider Organization
251X00000X
Supports Brokerage Agency
253Z00000X
In Home Supportive Care Agency
261QA0600X
Adult Day Care Clinic/Center
291U00000X
Clinical Medical Laboratory
332B00000X
Durable Medical Equipment & Medical Supplies
385H00000X
Respite Care

Other

Enumeration date
10/12/2020
Last updated
02/19/2025
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