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Contact Information

TAR HEEL HEALTH CARE SERVICES, LLC
121 TECHCON WAY
POLLOCKSVILLE, NC28573
 Phone: 252-224-1012
 Fax: 252-224-0310
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for TAR HEEL HEALTH CARE SERVICES, LLC

NPI # 1043243835
LBN Legal business name TAR HEEL HEALTH CARE SERVICES, LLC
Authorized official JOHN NICHOLS - (AUTHORIZED SIGNATORY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/08/2006
Last updated 04/06/2023 - About 3 years ago
Identifiers
NC Medicaid 1043243835
NC Medicaid 3407333
Other ========= G2
Other 0078A G2
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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