Healthcare Provider Details

I. General information

NPI: 1639474760
Provider Name (Legal Business Name): TRIAD CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2011
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1838 EASTCHESTER DR STE 102
HIGH POINT NC
27265-1494
US

IV. Provider business mailing address

1838 EASTCHESTER DR STE 102
HIGH POINT NC
27265-1494
US

V. Phone/Fax

Practice location:
  • Phone: 336-541-6475
  • Fax: 336-541-6485
Mailing address:
  • Phone: 336-541-6475
  • Fax: 336-541-6485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL004018
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: JEREMY PATTERSON
Title or Position: CEO
Credential: PHARMD
Phone: 336-324-0942