Provider Demographics
NPI:1508983149
Name:AMERICARE OF NORTH CAROLINA
Entity Type:Organization
Organization Name:AMERICARE OF NORTH CAROLINA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PLEUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-722-0913
Mailing Address - Street 1:PO BOX 1855
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13902-1855
Mailing Address - Country:US
Mailing Address - Phone:607-722-0913
Mailing Address - Fax:607-724-5465
Practice Address - Street 1:1302 S 16TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-6422
Practice Address - Country:US
Practice Address - Phone:910-343-9996
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC1197251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6600554Medicaid
NC3408894Medicaid