TRIAD TELECARE INC. NPI 1790825354

NPI Information

  • NPI: 1790825354
  • Provider Name: TRIAD TELECARE, INC.
  • Classification: Lodging - 177F00000X
  • Entity Type: Organization
  • Doing Business As: COUNTRY CLUB REST HOME
  • Address: 1324 COLTRANE MILL RD
    RANDLEMAN, NC
    ZIP 27317
  • Phone: (336) 574-6293

Map and Directions

Get Directions

NPI Details

TRIAD TELECARE, INC. is a lodging in Randleman, NC. The provider is a public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. TRIAD TELECARE, INC. NPI is 1790825354. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Country Club Rest Home.

The provider's business location address is:

1324 COLTRANE MILL RD
RANDLEMAN, NC
ZIP 27317-020
Phone: (336) 574-6293

The provider's authorized official is Pearlie M. Bullock .
The authorized official title is Administrator and has the following contact phone number (336) 674-6293.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 8/22/2020.

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
1177F00000XLodgingHAL076008NORTH CAROLINAYes

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