Provider Demographics
NPI:1477987857
Name:ENHANCEMENT HEALTH CARE, INC.
Entity Type:Organization
Organization Name:ENHANCEMENT HEALTH CARE, INC.
Other - Org Name:STAR HEALTH SERVICES (SPRING HILL)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:LYNCH
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-479-6600
Mailing Address - Street 1:2402 SOUTH MIAMI BLVD
Mailing Address - Street 2:105
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-4928
Mailing Address - Country:US
Mailing Address - Phone:919-479-6600
Mailing Address - Fax:919-479-1010
Practice Address - Street 1:2402 S MIAMI BLVD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-4927
Practice Address - Country:US
Practice Address - Phone:919-479-6600
Practice Address - Fax:919-479-1010
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENNHANCEMENT HEALTH CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-08-21
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-032-589261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7805437Medicaid