Healthcare Provider Details

I. General information

NPI: 1194767608
Provider Name (Legal Business Name): CARE CONCEPTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 12/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 OLD BRICKYARD RD
NORTH WILKESBORO NC
28659-8971
US

IV. Provider business mailing address

204 OLD BRICKYARD RD
NORTH WILKESBORO NC
28659-8971
US

V. Phone/Fax

Practice location:
  • Phone: 336-667-2020
  • Fax: 336-667-5357
Mailing address:
  • Phone: 336-667-2020
  • Fax: 336-667-5357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNH0509
License Number StateNC

VIII. Authorized Official

Name: ALICIA HUFFMAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 336-667-2020