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BURLINGTON CARE CENTER NPI 1043338247


NPI Information

NPI: 1043338247
Provider Name: BURLINGTON CARE CENTER
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
2201 BURCH BRIDGE RD
BURLINGTON, NC
ZIP 27217
Phone: (336) 222-1077
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BURLINGTON CARE CENTER is an adult care home custodial care facility in Burlington, 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. BURLINGTON CARE CENTER NPI is 1043338247. The provider is registered as an organization entity type.

The provider's business location address is:

2201 BURCH BRIDGE RD
BURLINGTON, NC
ZIP 27217-792
Phone: (336) 222-1077
Fax: (336) 421-5871

The provider's authorized official is Lawanda Jefferson Ray .
The authorized official title is Owner and has the following contact phone number (336) 421-0435.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 6/24/2008.


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 HomeHAL001002NORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17802215MEDICAIDNORTH 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: 5/5/2024

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