Healthcare Provider Details

I. General information

NPI: 1760615751
Provider Name (Legal Business Name): KERRR HOMES INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2009
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1048 HEARTH LN SW
CONCORD NC
28025
US

IV. Provider business mailing address

1048 HEARTH LN SW
CONCORD NC
28025-8805
US

V. Phone/Fax

Practice location:
  • Phone: 704-277-3783
  • Fax: 704-688-0179
Mailing address:
  • Phone: 704-277-3783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License NumberMHL-060-1102
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARKUS ANDRE KERR
Title or Position: CEO
Credential:
Phone: 704-277-3783