Healthcare Provider Details

I. General information

NPI: 1487464756
Provider Name (Legal Business Name): CAROLINA CARE GROUP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 N TRYON ST STE 1600
CHARLOTTE NC
28202-0213
US

IV. Provider business mailing address

525 N TRYON ST STE 1600
CHARLOTTE NC
28202-0213
US

V. Phone/Fax

Practice location:
  • Phone: 888-783-1311
  • Fax:
Mailing address:
  • Phone: 888-783-1311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. CARLSON CHIMANGHA
Title or Position: PRESIDENT & CEO
Credential:
Phone: 888-783-1311