Healthcare Provider Details

I. General information

NPI: 1215852942
Provider Name (Legal Business Name): INTENTFUL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 E WT HARRIS BLVD 120
CHARLOTTE NC
28213
US

IV. Provider business mailing address

3340 ROBINWOOD RD 100-499
GASTONIA NC
28054
US

V. Phone/Fax

Practice location:
  • Phone: 227-263-3435
  • Fax: 227-263-3435
Mailing address:
  • Phone: 227-263-3435
  • Fax: 227-263-3435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY TIANNA SPENCER
Title or Position: OWNER
Credential:
Phone: 227-263-3435