Provider Demographics
NPI:1336271154
Name:TC QUALITY HOMECARE, INC
Entity Type:Organization
Organization Name:TC QUALITY HOMECARE, INC
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-543-8220
Mailing Address - Street 1:8000 CORPORATE CENTER DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-4464
Mailing Address - Country:US
Mailing Address - Phone:704-543-8220
Mailing Address - Fax:704-543-8221
Practice Address - Street 1:8000 CORPORATE CENTER DR
Practice Address - Street 2:SUITE 208
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-4464
Practice Address - Country:US
Practice Address - Phone:704-543-8220
Practice Address - Fax:704-543-8221
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
NC2989251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408353Medicaid
NC6601280Medicaid