Provider Demographics
NPI:1467580795
Name:FAVOR CAP SERVICES,INC.
Entity Type:Organization
Organization Name:FAVOR CAP SERVICES,INC.
Other - Org Name:GREATER HOME CARE AGENCY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:MELVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-678-2084
Mailing Address - Street 1:3746 STEDMAN CEDAR CREEK RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28312-7599
Mailing Address - Country:US
Mailing Address - Phone:910-678-2084
Mailing Address - Fax:910-485-1906
Practice Address - Street 1:3746 STEDMAN CEDAR CREEK RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28312-7599
Practice Address - Country:US
Practice Address - Phone:910-678-2084
Practice Address - Fax:910-485-1906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3418101Medicaid