Provider Demographics
NPI:1154988905
Name:POLITE SENIOR HOME CARE LLC
Entity type:Organization
Organization Name:POLITE SENIOR HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSI
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:POLITE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:919-766-4002
Mailing Address - Street 1:7404 CHAPEL HILL RD STE N
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-5043
Mailing Address - Country:US
Mailing Address - Phone:919-766-4002
Mailing Address - Fax:919-766-4002
Practice Address - Street 1:7404 CHAPEL HILL RD STE N
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-5043
Practice Address - Country:US
Practice Address - Phone:919-766-4002
Practice Address - Fax:919-766-4002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-28
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health