- Enrollment id
- O20050610000438
- Enrollment state
- NC
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1649203431
- Multiple npi flag
- N
- Ccn
- 347317
- Associate id
- 1557273471
- Organization name
- TOTAL CARE HOME HEALTH OF NORTH CAROLINA, LLC
- Doing business as name
- CENTERWELL HOME HEALTH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1405 N LAFAYETTE ST
- City
- SHELBY
- State
- NC
- Zip code
- 281503406