Provider Demographics
NPI:1447983606
Name:A-Z HOME HEALTH CARE OF NORTH CAROLINA
Entity type:Organization
Organization Name:A-Z HOME HEALTH CARE OF NORTH CAROLINA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR/ CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MCTISA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:LANE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:984-269-3413
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:NC
Mailing Address - Zip Code:28390-0070
Mailing Address - Country:US
Mailing Address - Phone:984-269-3413
Mailing Address - Fax:910-436-0268
Practice Address - Street 1:88 MOSBY LN
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:NC
Practice Address - Zip Code:28390-7120
Practice Address - Country:US
Practice Address - Phone:984-269-3413
Practice Address - Fax:910-436-0268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health