Healthcare Provider Details

I. General information

NPI: 1609414671
Provider Name (Legal Business Name): CARING SENIOR SERVICES FRANCHISE PARTNERSHIP LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2019
Last Update Date: 12/20/2019
Certification Date: 12/20/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5041 NEW CENTRE DR STE 209
WILMINGTON NC
28403-1624
US

IV. Provider business mailing address

201 E PARK AVE STE 200
SAN ANTONIO TX
78212-4658
US

V. Phone/Fax

Practice location:
  • Phone: 910-208-4079
  • Fax:
Mailing address:
  • Phone: 210-757-4650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: BENJAMIN CORNU
Title or Position: DIRECTOR
Credential:
Phone: 210-931-5874