Provider Demographics
NPI:1275696429
Name:HOME HEALTH ENTERPRISES, INC
Entity Type:Organization
Organization Name:HOME HEALTH ENTERPRISES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:MONTOYA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHRISTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-414-6563
Mailing Address - Street 1:6047 TYVOLA GLEN CIR
Mailing Address - Street 2:#134
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28217-6431
Mailing Address - Country:US
Mailing Address - Phone:704-414-6563
Mailing Address - Fax:336-285-0333
Practice Address - Street 1:6047 TYVOLA GLEN CIR
Practice Address - Street 2:#134
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28217-6431
Practice Address - Country:US
Practice Address - Phone:704-414-6563
Practice Address - Fax:336-285-0333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3548251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care