Carolina Healthcare Southeast Region, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC3361 Issued in NC

Legal business name

CAROLINA HEALTHCARE SOUTHEAST REGION, LLC

Practice address

10612 Providence Rd Ste D-250
Charlotte, NC 28277-0459

Phone

(336) 608-1548

Fax

(336) 397-0096

NPI assigned

Jan 6, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle Denise McLain

Title

Owner

Phone

(336) 608-1548

Specialties & licenses 1

Addresses

Tax ID family

Carolina Healthcare Southeast Region LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Carolina Healthcare Southeast Region, LLC

  • Home Health Agency
  • Wadesboro, NC
  • NPI 1376773283
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1073843546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N MAIN ST",
            "address_2": "SUITE 2501",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013836",
            "telephone_number": "336-608-1548",
            "fax_number": "336-397-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10612 PROVIDENCE RD STE D-250",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770459",
            "telephone_number": "336-608-1548",
            "fax_number": "336-397-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA HEALTHCARE SOUTHEAST REGION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "MCLAIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-608-1548"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Hand Center, PA
• Carolina Hand Therapy Specialist PLLC
• Carolina Hand Therapy Specialist PLLC
• Carolina Hand Therapy Specialist PLLC
• Carolina Haven PCS
• Carolina Healthy Hearts & Minds, PLLC
• Carolina Home Access Solutions 2, LLC (Amramp Construction)
• Carolina Home Access Solutions, LLC (Amramp)
• Carolina Home Care & Health Solution, LLC
• Carolina Home Health Care Inc.

• Home Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.