Provider Demographics
NPI:1811029598
Name:PERSONAL CARE INC.
Entity Type:Organization
Organization Name:PERSONAL CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:S
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-274-9200
Mailing Address - Street 1:1 CENTERVIEW DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-3713
Mailing Address - Country:US
Mailing Address - Phone:336-274-9200
Mailing Address - Fax:336-274-4083
Practice Address - Street 1:1 CENTERVIEW DR
Practice Address - Street 2:SUITE 202
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-3713
Practice Address - Country:US
Practice Address - Phone:336-274-9200
Practice Address - Fax:336-274-4083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC1635251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6600571Medicaid