Provider Demographics
NPI:1841985736
Name:NOLA'S HOME CARE LLC
Entity type:Organization
Organization Name:NOLA'S HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TASHAWNA
Authorized Official - Middle Name:ARIELLA
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-624-6875
Mailing Address - Street 1:2622 HOPE MILLS RD STE 116
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306-8286
Mailing Address - Country:US
Mailing Address - Phone:910-316-3334
Mailing Address - Fax:910-312-3334
Practice Address - Street 1:2622 HOPE MILLS RD STE 116
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28306-8286
Practice Address - Country:US
Practice Address - Phone:910-316-3334
Practice Address - Fax:910-312-3334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-07
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health