4C COMPANY LLC NPI 1366677692

NPI Information

  • NPI: 1366677692
  • Provider Name: 4C COMPANY, LLC
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Doing Business As: THE RADBOURNE MANOR
  • Address: 3505 ORIOLE PL
    CHARLOTTE, NC
    ZIP 28269
  • Phone: (704) 394-8968

Map and Directions

Get Directions

NPI Details

4C COMPANY, LLC is an adult care home custodial care facility in Charlotte, 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. 4C COMPANY, LLC NPI is 1366677692. The provider is registered as an organization entity type.
The provider Is Doing Business As The Radbourne Manor.

The provider's business location address is:

3505 ORIOLE PL
CHARLOTTE, NC
ZIP 28269-214
Phone: (704) 394-8968
Fax: (704) 394-8967

The provider's authorized official is Lisa Wigfall .
The authorized official title is Ceo and has the following contact phone number (704) 394-8968.

The enumeration date for this NPI number is 5/15/2009 and was last updated on 9/29/2011.

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 HomeFCL-060-115NORTH 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
18301662MEDICAIDNORTH CAROLINA
23408495MEDICAIDNORTH CAROLINA
37806460MEDICAIDNORTH CAROLINA
46006138MEDICAIDNORTH CAROLINA
56601443MEDICAIDNORTH 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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI