Provider Demographics
NPI:1518203595
Name:EHC CARES LLC
Entity Type:Organization
Organization Name:EHC CARES LLC
Other - Org Name:EXCELLENT HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:GLOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-249-2553
Mailing Address - Street 1:8517 KIRKLEY GLEN LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-8049
Mailing Address - Country:US
Mailing Address - Phone:704-200-1413
Mailing Address - Fax:980-242-3496
Practice Address - Street 1:8517 KIRKLEY GLEN LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-8049
Practice Address - Country:US
Practice Address - Phone:704-200-1413
Practice Address - Fax:980-242-3496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-20
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4581251F00000X, 253Z00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1518203595Medicaid