Provider Demographics
NPI:1093948663
Name:KAROLINAS HOME CARE, LLC
Entity Type:Organization
Organization Name:KAROLINAS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUVERNAL
Authorized Official - Middle Name:
Authorized Official - Last Name:OGBUNEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-209-9993
Mailing Address - Street 1:6218 IDLEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-4731
Mailing Address - Country:US
Mailing Address - Phone:704-209-9993
Mailing Address - Fax:704-248-6655
Practice Address - Street 1:5624 EXECUTIVE CENTER DRIVE
Practice Address - Street 2:SUITE 125
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-4731
Practice Address - Country:US
Practice Address - Phone:704-209-9993
Practice Address - Fax:704-248-6655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-31
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3851251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health