MEDICARE: ABIDE CARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1043145642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABIDE CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	3600 BACKWATER ST
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28027-9834
Country	:	US
Telephone Number	:	336-587-5359
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 BACKWATER ST
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28027-9834
Country	:	US
Telephone Number	:	336-587-5359
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SPRING C LASHLEY
Credential	:
Telephone Number	:	336-587-5359

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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