Healthcare Provider Details

I. General information

NPI: 1134046253
Provider Name (Legal Business Name): VILLAGE CARE AND SUPPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1819 CEDROW DR
HIGH POINT NC
27260-4260
US

IV. Provider business mailing address

1819 CEDROW DR
HIGH POINT NC
27260-4260
US

V. Phone/Fax

Practice location:
  • Phone: 336-471-5336
  • Fax:
Mailing address:
  • Phone: 336-471-5336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LATASHA COARD
Title or Position: OWNER
Credential:
Phone: 336-471-5336