Healthcare Provider Details

I. General information

NPI: 1760705768
Provider Name (Legal Business Name): CARELINK SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2010
Last Update Date: 10/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1214 GROVE ST
GREENSBORO NC
27403-3410
US

IV. Provider business mailing address

1214 GROVE ST
GREENSBORO NC
27403-3410
US

V. Phone/Fax

Practice location:
  • Phone: 336-285-6887
  • Fax: 336-500-8951
Mailing address:
  • Phone: 336-285-6887
  • Fax: 336-500-8951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberMHL-041-1047
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number StateNC

VIII. Authorized Official

Name: MS. MONICA VERSHELLE STIMPSON
Title or Position: CEO
Credential:
Phone: 336-285-6887