Provider Type Icon

COMMUNITY ASSISTED RESIDENTIAL ENVIRONMENT LLC NPI 1811042401


NPI Information

NPI: 1811042401
Provider Name: COMMUNITY ASSISTED RESIDENTIAL ENVIRONMENT LLC

Other Name: CARE

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 34D2261379

Address:
1381 OLD MILL CIR
SUITE 301
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 760-1184
Get Directions

COMMUNITY ASSISTED RESIDENTIAL ENVIRONMENT LLC is a community behavioral health in Winston Salem, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. COMMUNITY ASSISTED RESIDENTIAL ENVIRONMENT LLC NPI is 1811042401. The provider is registered as an organization entity type.
The provider Other Name Is Care.

The provider's business location address is:

1381 OLD MILL CIR
SUITE 301
WINSTON SALEM, NC
ZIP 27103-400
Phone: (336) 760-1184
Fax: (336) 760-1727

The provider's authorized official is Shandra Cromartie .
The authorized official title is Director Of Operations and has the following contact phone number (336) 760-1184.

The CLIA number assigned to this NPI record is 34D2261379 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 10/9/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthMHL-034-172NORTH CAROLINANo
2251S00000XCommunity/Behavioral HealthMHL-029-095NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18300661AMEDICAIDNORTH CAROLINA
28300661HMEDICAIDNORTH CAROLINA
33409208MEDICAIDNORTH CAROLINA
47804690MEDICAIDNORTH CAROLINA
58300661MEDICAIDNORTH CAROLINA
68300661GMEDICAIDNORTH CAROLINA
78300661BMEDICAIDNORTH 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.