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BLACK ENTERPRISES OF NC LLC NPI 1871368399


NPI Information

NPI: 1871368399
Provider Name: BLACK ENTERPRISES OF NC LLC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
906 3RD ST SE
CONOVER, NC
ZIP 28613
Phone: (704) 239-2199
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BLACK ENTERPRISES OF NC LLC is an adult care home custodial care facility in Conover, NC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. BLACK ENTERPRISES OF NC LLC NPI is 1871368399. The provider is registered as an organization entity type.

The provider's business location address is:

906 3RD ST SE
CONOVER, NC
ZIP 28613-813
Phone: (704) 239-2199

The provider's authorized official is Casey William Black .
The authorized official title is Managing Member and has the following contact phone number (704) 239-2199.

The enumeration date for this NPI number is 11/15/2023 and was last updated on 11/15/2023.


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
1311ZA0620XCustodial Care FacilityAdult Care HomeYes

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: 5/5/2024

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