Organization
NORTH CAROLINA PERSONAL CARE SERVICES LLC
Active
Other names
North Carolina Personal Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHIVA LEDAWN JENNINGS MHA (AGENCY DIRECTOR AND OWNER)
(336) 858-9944
Entity
Organization
Contact information
Practice address
411 PARKWAY ST STE D, GREENSBORO, NC 27401-1644
(336) 604-0770
(336) 604-0752
Mailing address
411 PARKWAY ST STE D, GREENSBORO, NC 27401-1644
(336) 604-0770
(336) 604-0752
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770180150
—
NC
Enumeration date
10/08/2020
Last updated
10/14/2025
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