Provider Demographics
NPI:1780277228
Name:NORTH CAROLINA TOTAL HOME CARE
Entity type:Organization
Organization Name:NORTH CAROLINA TOTAL HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MASHANDIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PLATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-962-9174
Mailing Address - Street 1:2600 ELMIN ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-6004
Mailing Address - Country:US
Mailing Address - Phone:704-960-9174
Mailing Address - Fax:
Practice Address - Street 1:2600 ELMIN ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-6004
Practice Address - Country:US
Practice Address - Phone:704-960-9174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-16
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care