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PROFESSIONAL CARE HOME HEALTH SERVI
NPI 1467505305
Case Manager/Care Coordinator in Winston-salem, NC

Active since January 22, 2007
2070 CLOVERDALE AVE, SUITE C, WINSTON-SALEM, NC 27103(336) 725-0755 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Professional Care Home Health Servi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL CARE HOME HEALTH SERVI (NPI 1467505305) is a healthcare organization registered as a case manager/care coordinator in Winston-salem, North Carolina and active in the NPI registry since January 2007. The organization lists Teresia Medley, Administrator, as its authorized official.

NPPES Registry Identity

NPI1467505305
Entity TypeOrganization
Primary Taxonomy171M00000X
Legal Business NamePROFESSIONAL CARE HOME HEALTH SERVI
Location Address2070 CLOVERDALE AVE, SUITE CWinston-salem, NC 27103
Mailing Address2070 Cloverdale Ave, Suite CWinston-salem, NC 27103 · (336) 725-0755
Phone(336) 725-0755
Organization SubpartNo
Authorized OfficialTeresia MedleyAdministrator · (336) 725-0755
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJune 25, 2008
✔ NPI 1467505305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
2070 CLOVERDALE AVE, Winston-salem, NC 27103
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Other Identifiers 1

Medicaid8700436NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROFESSIONAL CARE HOME HEALTH SERVICES
Nursing Care
2070 CLOVERDALE AVE, SUITE C
WINSTON-SALEM, NC 27103
Forsyth County (336) 725-0755

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Care Home Health Servi's NPI number?

The NPI number for Professional Care Home Health Servi is 1467505305. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Professional Care Home Health Servi located?

Professional Care Home Health Servi is located at 2070 Cloverdale Ave Suite C, Winston-Salem, NC 27103. The listed phone number is (336) 725-0755.

What is Professional Care Home Health Servi's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Professional Care Home Health Servi was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.