Carolina Village Community Care, Llc

LBN: Carolina Village Community Care, Llc
Carolina Village Community Care, Llc is an health care organization with primary practice located at 1122 Sam Newell Rd Ste 103 , Matthews NC 28105-5016. The organization recently has 10 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care, Transportation Services / Secured Medical Transport (VAN), Transportation Services / Non-emergency Medical Transport (VAN), Transportation Services / Private Vehicle, Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Mental Illness, Child, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Physical Disabilities, Child. Agencies / In Home Supportive Care is the primary health care specialty. Carolina Village Community Care, Llc can be contacted via phone (704) 625-6598, or through Johnson, Kendra via phone (704) 625-6598.

Contact Information

Primary practice address
1122 Sam Newell Rd Ste 103 Matthews NC 28105-5016
Phone: (704) 625-6598
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Kendra
Phone: (704) 625-6598

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / In Home Supportive Care 253Z00000X
Transportation Services / Secured Medical Transport (VAN) 343800000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Transportation Services / Private Vehicle 347C00000X
Respite Care Facility / Respite Care 385H00000X
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Respite Care Facility / Respite Care, Physical Disabilities, Child 385HR2065X

Profile Details

NPI number 1578276135
LBN Legal business name Carolina Village Community Care, Llc
DBA Doing business as
Authorized official Johnson, Kendra
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2022
Last updated Sep 14th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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