Provider Demographics
NPI:1376502393
Name:STANLEX, INC.
Entity Type:Organization
Organization Name:STANLEX, INC.
Other - Org Name:HOME CARE OF THE CAROLINAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:P
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-984-4347
Mailing Address - Street 1:907 N 2ND ST
Mailing Address - Street 2:PO BOX 837
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28001-3317
Mailing Address - Country:US
Mailing Address - Phone:704-982-2273
Mailing Address - Fax:704-986-2358
Practice Address - Street 1:907 N 2ND ST
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-3317
Practice Address - Country:US
Practice Address - Phone:704-982-2273
Practice Address - Fax:704-986-2358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-20
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHH953825251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3407113Medicaid
NC0736OtherBCBS PROVIDER NUMBER
NC0736OtherBCBS PROVIDER NUMBER