3Ehome Visiting Provider LLC

Organization Active NPI Primary Care Clinic/Center · Greensboro, NC

NPI 1003530197 · NPPES record last updated Oct 4, 2022

Key facts

NPI
1003530197
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
Legal business name
3EHOME VISITING PROVIDER LLC
Practice address
7614 Cedar Chase Dr
Greensboro, NC 27455-8385
Phone
(702) 328-1646
NPI assigned
Oct 3, 2022
Organization subpart
No

Authorized official

Name
Demissie Solomon, APRN NPI 1548765167
Title
Nurse Practitioner
Phone
(702) 328-1646

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Yes

Addresses

Primary practice location

7614 Cedar Chase Dr
Greensboro, NC 27455-8385

Mailing address

7614 Cedar Chase Dr
Greensboro, NC 27455-8385

Other providers in Greensboro, NC

All providers in Greensboro, NC · Primary Care Clinic/Center in North Carolina

Sources for this page

Verify at the official NPI Registry.