Provider Demographics
NPI:1801071238
Name:HOME CARE SOLUTIONS OF NC, LLC
Entity type:Organization
Organization Name:HOME CARE SOLUTIONS OF NC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LATONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-767-4514
Mailing Address - Street 1:7748 N POINT BLVD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-3310
Mailing Address - Country:US
Mailing Address - Phone:336-486-2429
Mailing Address - Fax:
Practice Address - Street 1:3816 HEATHER VIEW LN
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27127-4512
Practice Address - Country:US
Practice Address - Phone:336-842-3864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-03
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL034323251S00000X
NCMHL034286251S00000X
NCMHL034296251S00000X
NCMHL034223251S00000X
253Z00000X, 320800000X, 323P00000X
NCMHL-034-223320900000X
NCMHL-034-323320900000X
NCMHL-034-336320900000X
NCMHL-034-286320900000X
NCMHL-034-296320900000X
NCMHL034336251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3418709Medicaid