Provider Demographics
NPI:1205268109
Name:ENHANCEMENT HEALTH CARE,INC
Entity type:Organization
Organization Name:ENHANCEMENT HEALTH CARE,INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:LYNCH
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-479-6600
Mailing Address - Street 1:3326 GUESS RD
Mailing Address - Street 2:3326 GUESS ROAD SUITE 205
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2160
Mailing Address - Country:US
Mailing Address - Phone:919-479-6600
Mailing Address - Fax:919-479-1010
Practice Address - Street 1:600 AUDUBON LAKE DR
Practice Address - Street 2:APT. 1A11
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-8530
Practice Address - Country:US
Practice Address - Phone:919-479-6600
Practice Address - Fax:919-479-1010
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENHANCEMENT HEALTH CARE,INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-08-01
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL032589305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNPIOtherNPI
NC1205268109OtherNPI
NC7805437Medicaid
NCNPIOther7805437
NC3418634Medicaid