Provider Demographics
NPI:1760027502
Name:UPLIFT HOME CARE, LLC
Entity Type:Organization
Organization Name:UPLIFT HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-476-6456
Mailing Address - Street 1:PO BOX 254
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:NC
Mailing Address - Zip Code:28551-0254
Mailing Address - Country:US
Mailing Address - Phone:252-566-3010
Mailing Address - Fax:252-566-3012
Practice Address - Street 1:304 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:NC
Practice Address - Zip Code:28551-1856
Practice Address - Country:US
Practice Address - Phone:252-566-3010
Practice Address - Fax:252-566-3012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-15
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care