Ethereal Care, LLC
NPI 1124600143 · In Home Supportive Care Agency · Greensboro, NC
Enrolled with Medicare as Dme Supplier - Medical Supply Company · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ethereal Care, LLC is a In Home Supportive Care Agency organization in Greensboro, NC (NPI 1124600143).
Provider details
- NPI number
- 1124600143
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Latina Williams, Assistant Director(336) 303-2778
Specialties & taxonomies
Agencies
- Case Management Agency251B00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
Suppliers
- Customized Equipment (DME)332BC3200X
Suppliers
- Private Vehicle347C00000X
Transportation Services
- Respite Care385H00000X
Respite Care Facility
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-04-28
- Last updated
- 2025-03-27
- Certified
- 2025-03-27
Frequently asked questions
- What is Ethereal Care, LLC's NPI number?
- Ethereal Care, LLC's National Provider Identifier (NPI) is 1124600143, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ethereal Care, LLC?
- Ethereal Care, LLC is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Ethereal Care, LLC located?
- Ethereal Care, LLC's practice location on file with NPPES is 2216 W Meadowview Rd Ste 264, Greensboro, NC 27407-3406.
- What is Ethereal Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ethereal Care, LLC is (336) 303-2778.
- Does Ethereal Care, LLC accept Medicare?
- Ethereal Care, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ethereal Care, LLC?
- The authorized official listed on Ethereal Care, LLC's NPPES record is Latina Williams, Assistant Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ethereal Care, LLC's NPI active?
- Yes — Ethereal Care, LLC's NPI (1124600143) is active in the NPPES registry as of the last update on 2025-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.