Provider Demographics
NPI:1417256124
Name:AEGIS HOME CARE, LLC
Entity Type:Organization
Organization Name:AEGIS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:MILLIKAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-442-5252
Mailing Address - Street 1:50101 GOVERNORS DR
Mailing Address - Street 2:SUITE 105-A
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-9515
Mailing Address - Country:US
Mailing Address - Phone:919-442-5252
Mailing Address - Fax:919-240-5735
Practice Address - Street 1:50101 GOVERNORS DR
Practice Address - Street 2:SUITE 105-A
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-9515
Practice Address - Country:US
Practice Address - Phone:919-442-5252
Practice Address - Fax:919-240-5735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3979253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care