Provider Demographics
NPI:1265664684
Name:PRIVATE HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:PRIVATE HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONIE
Authorized Official - Middle Name:ROSALYN
Authorized Official - Last Name:GREGG-HUTCHISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-301-4164
Mailing Address - Street 1:2600 BUCKLEIGH DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-7544
Mailing Address - Country:US
Mailing Address - Phone:704-301-4164
Mailing Address - Fax:
Practice Address - Street 1:2600 BUCKLEIGH DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-7544
Practice Address - Country:US
Practice Address - Phone:704-301-4164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-18
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care