Provider Demographics
NPI:1952782252
Name:GREATER HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:GREATER HOME HEALTH SERVICES LLC
Other - Org Name:GREATER HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MIJE
Authorized Official - Middle Name:IJEOMA
Authorized Official - Last Name:NWANGWU
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, MT (ASCP)
Authorized Official - Phone:704-577-6600
Mailing Address - Street 1:528 LAKE CONCORD RD NE
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-2926
Mailing Address - Country:US
Mailing Address - Phone:704-956-2478
Mailing Address - Fax:866-506-2432
Practice Address - Street 1:528 LAKE CONCORD RD NE
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2926
Practice Address - Country:US
Practice Address - Phone:704-956-2478
Practice Address - Fax:866-506-2432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-11
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251F00000XAgenciesHome Infusion
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care