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Contact Information

WELL CARE HOME CARE
1508 MILITARY CUTOFF RD
SUITE 304
WILMINGTON, NC28403
 Phone: 910-343-9996
 Fax: 910-343-0352
 Website: https://www.avidhealthathome.com/
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Home Health

251E00000X A4[11] Home Health Agency
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for WELL CARE HOME CARE

NPI Number 1205825759
LBN Legal business name WELL CARE HOME CARE
Authorized official JENNIFER LENTZ - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2005
Last updated 12/31/2024 - More than a year ago
Identifiers
NC License # HC0088
NC License # HC1231
NC Medicaid 3408345
NC Medicaid 6600144
NC Medicaid 6601424
NC Medicaid 6601425
NC Medicaid 6601426
NC Medicaid 7100096
NC Medicaid 7100103
NC Medicaid 7100524
NC Medicaid 7100525
NC Other 0077T BCBS PDN
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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