Healthcare Provider Details

I. General information

NPI: 1346379963
Provider Name (Legal Business Name): CAROLINA THERAPEUTIC FAMILY AND CHILDREN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 BROOKS ST
BURLINGTON NC
27215-3702
US

IV. Provider business mailing address

108 BROOKS ST
BURLINGTON NC
27215-3702
US

V. Phone/Fax

Practice location:
  • Phone: 336-684-5005
  • Fax: 336-222-1380
Mailing address:
  • Phone: 336-684-5005
  • Fax: 336-222-1380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. EVERETT JONES
Title or Position: DIRECTOR
Credential:
Phone: 336-684-5005