Provider Demographics
NPI:1417284142
Name:A REMEDIE FOR HOME CARE SERVICES INC.
Entity Type:Organization
Organization Name:A REMEDIE FOR HOME CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MIA
Authorized Official - Middle Name:TANEE
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-854-9215
Mailing Address - Street 1:1548 UNION RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-4304
Mailing Address - Country:US
Mailing Address - Phone:704-854-9215
Mailing Address - Fax:704-854-9217
Practice Address - Street 1:1548 UNION ROAD
Practice Address - Street 2:SUITE D
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-4304
Practice Address - Country:US
Practice Address - Phone:704-854-9215
Practice Address - Fax:704-854-9217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-18
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601990Medicaid