Provider Demographics
NPI:1760855340
Name:AURORA HOME CARE AGENCY LLC
Entity Type:Organization
Organization Name:AURORA HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:A
Authorized Official - Last Name:LUNDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-686-4931
Mailing Address - Street 1:3235 CLIFFDALE RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-4936
Mailing Address - Country:US
Mailing Address - Phone:910-491-5044
Mailing Address - Fax:910-491-6765
Practice Address - Street 1:3235 CLIFFDALE RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-4936
Practice Address - Country:US
Practice Address - Phone:910-491-5044
Practice Address - Fax:910-491-6765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-04
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care