Healthcare Provider Details

I. General information

NPI: 1689267551
Provider Name (Legal Business Name): CHESED CARE NETORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2021
Last Update Date: 02/18/2021
Certification Date: 02/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8824 BELLHAVEN BLVD
CHARLOTTE NC
28214-1349
US

IV. Provider business mailing address

8920 LAWYERS RD UNIT 691672
MINT HILL NC
28227-1400
US

V. Phone/Fax

Practice location:
  • Phone: 704-796-6734
  • Fax:
Mailing address:
  • Phone: 704-796-6734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: EDWARD LILLY
Title or Position: DIRECTOR
Credential:
Phone: 704-796-6734