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CEDRIC DEAN HOLDINGS INC. NPI 1497473086


NPI Information

NPI: 1497473086
Provider Name: CEDRIC DEAN HOLDINGS INC.

Doing Business As: PEER SUPPORT NC

Classification: Case Manager/Care Coordinator - 171M00000X
Entity Type: Organization
Address:
2001 CATHERINE SIMMONS AVE
CHARLOTTE, NC
ZIP 28216
Phone: (704) 492-1533
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CEDRIC DEAN HOLDINGS INC. is a case manager care coordinator in Charlotte, NC. The provider is a person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. CEDRIC DEAN HOLDINGS INC. NPI is 1497473086. The provider is registered as an organization entity type.
The provider Is Doing Business As Peer Support Nc.

The provider's business location address is:

2001 CATHERINE SIMMONS AVE
CHARLOTTE, NC
ZIP 28216-677
Phone: (704) 492-1533

The provider's authorized official is Cedric Dean .
The authorized official title is Behavioral Health Practitioner and has the following contact phone number (704) 492-5509.

The enumeration date for this NPI number is 8/18/2022 and was last updated on 9/12/2023.


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
1251B00000XCase ManagementNo
2251K00000XPublic Health or WelfareNo
3305R00000XPreferred Provider OrganizationNo
4171M00000XCase Manager/Care CoordinatorYes

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
140411529OTHERNORTH CAROLINAATYPICAL PROVIDER
21497473086MEDICAIDNORTH 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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