Organization
CARROLTON HOME CARE, LLC
Active
Other names
Gentiva
Organization subpart
No
Provider details
NPI number
Authorized official
JANET COMBS (VP, LICENSURE)
(704) 662-1761
Entity
Organization
Contact information
Practice address
2800 BREEZEWOOD AVE, SUITE 100, FAYETTEVILLE, NC 28303-5286
(910) 323-9816
(877) 564-5520
Mailing address
655 BRAWLEY SCHOOL RD, SUITE 200, MOORESVILLE, NC 28117-9125
(704) 664-2876
(704) 664-1306
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HC1331
NC
251G00000X
Community Based Hospice Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022B
BCBS CUMBERLAND
NC
05
—
3401576
—
NC
Enumeration date
05/27/2006
Last updated
08/31/2023
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