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Home Life Care INC

In Home Supportive Care in Edenton, NC. Organization (NPI-2).

NPI number1003974973
StatusActive
Last updated in NPPESFeb 21, 2019

Details

NPI
1003974973
Entity type
Organization (NPI-2)
Legal business name
Home Life Care INC
Organization subpart
No
Enumeration date
Dec 4, 2006
Last updated
Feb 21, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive CareHC2093NCYes

Practice location

300 Virginia Rd Ste F
Edenton, NC 27932-9553

Phone 252-482-1130 · Fax 252-482-1190

Mailing address

Po Box 1106
Ahoskie, NC 27910-1106

Phone 252-332-8265 · Fax 252-332-1966

Authorized official

Melissa King
Director
2523328265

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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