Provider Demographics
NPI:1700218575
Name:ENHANCEMENT HEALTH CARE ,INC
Entity Type:Organization
Organization Name:ENHANCEMENT HEALTH CARE ,INC
Other - Org Name:
Other - Org Type:
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 1:3326 GUESS RD
Mailing Address - Street 2:104
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2160
Mailing Address - Country:US
Mailing Address - Phone:919-479-6600
Mailing Address - Fax:919-479-1010
Practice Address - Street 1:3326 GUESS RD
Practice Address - Street 2:104
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-2160
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:ENHANCEMENT HEALTH CARE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-08-05
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-032-568305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3418634Medicaid
NC1528275054OtherNPI
NC7805437Medicaid
NC1700218575OtherNPI
NC8702313Medicaid