Provider Demographics
NPI:1821668765
Name:HIGHLY FAVORED HOME CARE
Entity Type:Organization
Organization Name:HIGHLY FAVORED HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-606-9000
Mailing Address - Street 1:4704 TUMBLEWEED CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-1181
Mailing Address - Country:US
Mailing Address - Phone:704-606-9000
Mailing Address - Fax:
Practice Address - Street 1:4704 TUMBLEWEED CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-1181
Practice Address - Country:US
Practice Address - Phone:704-606-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care