Provider Demographics
NPI:1073125217
Name:REFERENCE HOME CARE, LLC
Entity Type:Organization
Organization Name:REFERENCE HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:UNKNOWN
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHEAL LIEMBO EKANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-242-7280
Mailing Address - Street 1:3406 JUNE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-7114
Mailing Address - Country:US
Mailing Address - Phone:980-242-7280
Mailing Address - Fax:
Practice Address - Street 1:3406 JUNE DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-7114
Practice Address - Country:US
Practice Address - Phone:980-242-7280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care