PROFESSIONAL CARE HOME HEALTH SERVICES
NPI 1972656825
Nurse's Aide 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: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nurse's Aide

About PROFESSIONAL CARE HOME HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Professional Care Home Health Services, a provider established in Winston-salem, North Carolina operating as a Nurse's Aide. The healthcare provider is registered in the NPI registry with number 1972656825 assigned on January 2007. The practitioner's primary taxonomy code is 376K00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Professional Care Home Health Services operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Teresia Medley Msw (Administrator)

NPI
1972656825 Verify this NPI
Provider Name
PROFESSIONAL CARE HOME HEALTH SERVICES
Entity Type
Organization
Location Address
2070 CLOVERDALE AVE. SUITE C WINSTON-SALEM, NC 27103
Location Phone
(336) 725-0755
Mailing Address
2070 CLOVERDALE AVE. SUITE C WINSTON-SALEM, NC 27103
Mailing Phone
(336) 725-0755
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-22-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse's Aide

Taxonomy Code
376K00000X
Type
Nursing Service Related Providers
License State
NC
Taxonomy Description
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TERESIA MEDLEY MSW

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(336) 725-0755

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3408355MEDICAID (05)NC 

Reviews for PROFESSIONAL CARE HOME HEALTH SERVICES

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse's Aide
2070 CLOVERDALE AVE., SUITE C
WINSTON-SALEM, NC 27103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972656825, enumerated as an "organization" on January 22, 2007.

The provider is located at 2070 CLOVERDALE AVE. SUITE C WINSTON-SALEM, NC 27103 and the phone number is (336) 725-0755.

Nurse's Aide with taxonomy code 376K00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.