Provider Demographics
NPI:1891227922
Name:REMEDI SENIORCARE OF CHARLOTTE, LLC
Entity Type:Organization
Organization Name:REMEDI SENIORCARE OF CHARLOTTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF LICENSING
Authorized Official - Prefix:MS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-632-1208
Mailing Address - Street 1:1 OLYMPIC PL STE 600
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-4110
Mailing Address - Country:US
Mailing Address - Phone:443-927-8403
Mailing Address - Fax:
Practice Address - Street 1:7504 E INDEPENDENCE BLVD
Practice Address - Street 2:SUITE 112
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28227-9472
Practice Address - Country:US
Practice Address - Phone:844-312-3649
Practice Address - Fax:844-649-6019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-29
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy