Provider Demographics
NPI:1306298500
Name:CAROLINA HOME ACCESS SOLUTIONS, LLC
Entity type:Organization
Organization Name:CAROLINA HOME ACCESS SOLUTIONS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:SEIDEL
Authorized Official - Last Name:CATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-400-0937
Mailing Address - Street 1:9101 TRESANTON DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-8302
Mailing Address - Country:US
Mailing Address - Phone:704-910-9172
Mailing Address - Fax:866-384-9989
Practice Address - Street 1:9101 TRESANTON DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-8302
Practice Address - Country:US
Practice Address - Phone:704-910-9172
Practice Address - Fax:866-384-9989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-12
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 251J00000X, 291U00000X, 385H00000X
MACS029015332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No291U00000XLaboratoriesClinical Medical Laboratory
No385H00000XRespite Care FacilityRespite Care