Provider Demographics
NPI:1396207155
Name:MIDTOWN HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:MIDTOWN HOME HEALTH CARE INC
Other - Org Name:ACCESS HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKOETE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-744-8125
Mailing Address - Street 1:5624 EXECUTIVE CENTER DR STE 132
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-8876
Mailing Address - Country:US
Mailing Address - Phone:919-744-8125
Mailing Address - Fax:
Practice Address - Street 1:5624 EXECUTIVE CENTER DR STE 132
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-8876
Practice Address - Country:US
Practice Address - Phone:919-744-8125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-02
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCHC4106OtherHOME CARE LICENSE