Provider Demographics
NPI:1326046459
Name:PARTNERS IN CARE
Entity Type:Organization
Organization Name:PARTNERS IN CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:704-554-9904
Mailing Address - Street 1:319 S SHARON AMITY RD
Mailing Address - Street 2:SUITE # 210
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-2834
Mailing Address - Country:US
Mailing Address - Phone:704-554-9904
Mailing Address - Fax:704-365-3704
Practice Address - Street 1:319 S SHARON AMITY RD
Practice Address - Street 2:SUITE # 210
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-2834
Practice Address - Country:US
Practice Address - Phone:704-554-9904
Practice Address - Fax:704-365-3704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2373251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409591Medicaid
NC6600946Medicaid