Provider Demographics
NPI:1386090983
Name:HOMECARE MANAGEMENT CORPORATION
Entity type:Organization
Organization Name:HOMECARE MANAGEMENT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:BENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-754-3665
Mailing Address - Street 1:315 WILKESBORO BLVD NE
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-4498
Mailing Address - Country:US
Mailing Address - Phone:828-754-3665
Mailing Address - Fax:828-757-3195
Practice Address - Street 1:1165 GREGORY DR STE B
Practice Address - Street 2:
Practice Address - City:ROANOKE RAPIDS
Practice Address - State:NC
Practice Address - Zip Code:27870-6442
Practice Address - Country:US
Practice Address - Phone:828-754-3665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY BASED CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-12
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health