Provider Demographics
NPI:1689962573
Name:SHERRIE'S IN-HOME CARE, LLC
Entity Type:Organization
Organization Name:SHERRIE'S IN-HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERRIE
Authorized Official - Middle Name:GATTON
Authorized Official - Last Name:HAITHCOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-873-1976
Mailing Address - Street 1:248 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28677-5325
Mailing Address - Country:US
Mailing Address - Phone:704-657-6942
Mailing Address - Fax:
Practice Address - Street 1:248 E BROAD ST
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-5325
Practice Address - Country:US
Practice Address - Phone:704-657-6942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-13
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4394253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care