Provider Demographics
NPI:1811050180
Name:HOMECARE MANAGEMENT CORPORATION
Entity type:Organization
Organization Name:HOMECARE MANAGEMENT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RANKIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:WHITTINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-754-3665
Mailing Address - Street 1:315 WILKESBORO BLVD NE STE 2B
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-4498
Mailing Address - Country:US
Mailing Address - Phone:828-754-3665
Mailing Address - Fax:828-757-3195
Practice Address - Street 1:315 WILKESBORO BLVD NE STE 2B
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-4498
Practice Address - Country:US
Practice Address - Phone:828-754-3665
Practice Address - Fax:828-757-3195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC1093251C00000X, 3747P1801X
251S00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408502Medicaid