Healthcare Provider Details

I. General information

NPI: 1578971214
Provider Name (Legal Business Name): ACUMEN OF NORTH CAROLINA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2014
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 MCCULLOUGH DR STE 400
CHARLOTTE NC
28262-1336
US

IV. Provider business mailing address

5416 E BASELINE RD STE 200
MESA AZ
85206-4704
US

V. Phone/Fax

Practice location:
  • Phone: 866-811-3099
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TARA KATALINIC
Title or Position: COMPLIANCE ANALYST
Credential:
Phone: 480-295-3328