Organization
HOMECARE FOR THE CAROLINAS CLINIC
Active
Other names
HomeCare for the Carolinas Clinic, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA NEELY (BILLING DIRECTOR)
(704) 335-8488
Entity
Organization
Contact information
Practice address
4301 MORRIS PARK DR STE 14, MINT HILL, NC 28227-8253
(704) 335-8488
Mailing address
13048 ODELL HEIGHTS DR, MINT HILL, NC 28227-4388
(704) 724-7041
(704) 335-8477
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669868972
—
NC
05
—
1841681558
—
NC
Enumeration date
04/13/2015
Last updated
02/19/2025
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