Provider Demographics
NPI:1497130652
Name:CONFIDENTIAL HOME CARE, INC
Entity Type:Organization
Organization Name:CONFIDENTIAL HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:GROVER
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:336-275-5571
Mailing Address - Street 1:709 EAST MARKET ST
Mailing Address - Street 2:STE 106
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-2958
Mailing Address - Country:US
Mailing Address - Phone:336-275-5571
Mailing Address - Fax:336-274-2686
Practice Address - Street 1:709 E MARKET ST
Practice Address - Street 2:STE 106
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-3265
Practice Address - Country:US
Practice Address - Phone:336-275-5571
Practice Address - Fax:336-274-2686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-29
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4806251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health