Healthcare Provider Details
I. General information
NPI: 1417776055
Provider Name (Legal Business Name): ADORABLE CARE GIVERS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/09/2024
Last Update Date: 10/11/2024
Certification Date: 10/11/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7117 N MILLS RD
CHARLOTTE NC
28216-5286
US
IV. Provider business mailing address
7117 N MILLS RD
CHARLOTTE NC
28216-5286
US
V. Phone/Fax
- Phone: 240-593-2154
- Fax:
- Phone: 240-593-2154
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332U00000X |
| Taxonomy | Home Delivered Meals |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | NULL |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | NULL |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174200000X |
| Taxonomy | Meals Provider |
| License Number | |
| License Number State | NULL |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374K00000X |
| Taxonomy | Religious Nonmedical Practitioner |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: MISS
ADAORA
NWAKALOR
Title or Position: OWNER
Credential:
Phone: 240-593-2154