Provider Demographics
NPI:1174682678
Name:WE CARE HOME HEALTH AGENCY OF MONROE INC
Entity Type:Organization
Organization Name:WE CARE HOME HEALTH AGENCY OF MONROE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHEY
Authorized Official - Middle Name:CHYREL
Authorized Official - Last Name:GLENN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-491-6558
Mailing Address - Street 1:2006 WALKUP AVE STE C
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-3750
Mailing Address - Country:US
Mailing Address - Phone:704-282-9346
Mailing Address - Fax:704-282-9356
Practice Address - Street 1:2006 WALKUP AVE STE C
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-3750
Practice Address - Country:US
Practice Address - Phone:704-282-9346
Practice Address - Fax:704-282-9356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3370311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601490Medicaid