Organization
MID-CAROLINA HOMECARE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE MCCULLOUGH MBA (REIMBURSEMENT MANAGER)
(919) 465-9300
Entity
Organization
Contact information
Practice address
600 AIRPORT BLVD, SUITE 500, MORRISVILLE, NC 27560-8489
(919) 465-9300
(919) 465-9310
Mailing address
600 AIRPORT BLVD, SUITE 500, MORRISVILLE, NC 27560-8489
(919) 465-9300
(919) 465-9310
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
HC1801
NC
332B00000X
Durable Medical Equipment & Medical Supplies
HC1801
NC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
HC1801
NC
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
07363
NC
333600000X
Pharmacy
07363
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04380
BC/BS OF NC HOME INFUSION
NC
01
—
0448V
BC/BS OF NC DME
NC
05
—
0920077
—
NC
05
—
6800414
—
NC
05
—
7703063
—
NC
Enumeration date
07/11/2005
Last updated
09/11/2025
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