Provider Demographics
NPI:1629856877
Name:BUTTERFLY IN HOME CARE LLC
Entity type:Organization
Organization Name:BUTTERFLY IN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHENETTA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-777-1997
Mailing Address - Street 1:7209 E W T HARRIS BLVD STE J233
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28227-1063
Mailing Address - Country:US
Mailing Address - Phone:704-610-7774
Mailing Address - Fax:
Practice Address - Street 1:4037 E INDEPENDENCE BLVD STE 407
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-3260
Practice Address - Country:US
Practice Address - Phone:704-610-7774
Practice Address - Fax:704-413-3875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-19
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care