Organization
NORTHCARE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN LYNN DEIMANTAS (PRESIDENT)
(252) 757-0029
Entity
Organization
Contact information
Practice address
640 MEDICAL DR, SUITE H, GREENVILLE, NC 27834-7502
(252) 757-0029
(252) 757-0034
Mailing address
640 MEDICAL DR, SUITE H, GREENVILLE, NC 27834-7502
(252) 757-0029
(252) 757-0034
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC0072
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074K
BCBS
NC
01
—
0077N
BCBS
NC
05
—
7100390
—
NC
Enumeration date
03/03/2006
Last updated
08/22/2020
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