Onecare#2

Organization Active NPI In Home Supportive Care Agency · Archdale, NC

NPI 1053702175 · NPPES record last updated Feb 11, 2015

Key facts

NPI
1053702175
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
License
HC4717 (NC)
Legal business name
ONECARE#2
Practice address
10418 N Main St Ste a
Archdale, NC 27263-3282
Phone
(336) 803-4001
NPI assigned
Feb 11, 2015
Organization subpart
No

Authorized official

Name
Tara Davis
Title
Owner
Phone
(336) 803-4001

Practitioners 1

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

National Provider Directory

Locations

10418 N Main St
Ste A
Archdale, NC 27263
Phone (336) 803-4001

10418 N Main St
Archdale, NC 27263
Phone (336) 803-4001

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HC4717 NC Yes

Addresses

Primary practice location

10418 N Main St Ste a
Archdale, NC 27263-3282

Mailing address

10418 N Main St
Archdale, NC 27263-3281

Other providers in Archdale, NC

All providers in Archdale, NC · In Home Supportive Care Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.