CARROLTON HOME CARE LLC NPI 1528015369

NPI Information

NPI: 1528015369
Provider Name: CARROLTON HOME CARE, LLC

Doing Business As: COMMUNITY HOME CARE & HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
2800 BREEZEWOOD AVE
SUITE 100
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 323-9816
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CARROLTON HOME CARE, LLC is a hospice care community based in Fayetteville, NC. CARROLTON HOME CARE, LLC NPI is 1528015369. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Home Care & Hospice.

The provider's business location address is:

2800 BREEZEWOOD AVE
SUITE 100
FAYETTEVILLE, NC
ZIP 28303-286
Phone: (910) 323-9816
Fax: (877) 564-5520

The provider's authorized official is Jessica Kleberg .
The authorized official title is Vp Of Legal Affairs and has the following contact phone number (704) 664-2876.

The CLIA number assigned to this NPI record is 34D1011235 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 5/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				No
2	251G00000X	Hospice Care, Community Based		HC1331	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0022B	OTHER	NORTH CAROLINA	BCBS CUMBERLAND
2	3401576	MEDICAID	NORTH CAROLINA
3	341576	MEDICARE PIN	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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