Provider Demographics
NPI:1083370977
Name:NO PLACEMENT LIKE HOME
Entity Type:Organization
Organization Name:NO PLACEMENT LIKE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAMUAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SOUVENIR
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:704-835-2291
Mailing Address - Street 1:6211 CARMEL RD STE 204
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-8258
Mailing Address - Country:US
Mailing Address - Phone:704-835-2291
Mailing Address - Fax:704-831-9091
Practice Address - Street 1:3016 COLONY RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-3239
Practice Address - Country:US
Practice Address - Phone:704-835-2291
Practice Address - Fax:704-835-2291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care