Provider Demographics
NPI:1326251554
Name:DISCOVERY HOME CARE INC
Entity Type:Organization
Organization Name:DISCOVERY HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:B
Authorized Official - Last Name:LEGETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-854-9351
Mailing Address - Street 1:2429 LYNN DR
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-2834
Mailing Address - Country:US
Mailing Address - Phone:704-854-9351
Mailing Address - Fax:704-854-9352
Practice Address - Street 1:2429 LYNN DR
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2834
Practice Address - Country:US
Practice Address - Phone:704-854-9351
Practice Address - Fax:704-854-9352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCB01837343900000X, 385H00000X
385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)