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Contact Information

WELL CARE HOME CARE
445 WESTERN BLVD
SUITE N
JACKSONVILLE, NC28546
 Phone: 910-353-9788
 Fax: 910-353-9895
 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 1720229784
LBN Legal business name WELL CARE HOME CARE
Authorized official JENNIFER LENTZ - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/20/2009
Last updated 11/07/2024 - More than a year ago
Identifiers
NC License # HC1337
NC Medicaid 6601827
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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