MEDICARE: ONE ON ONE CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780782284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE ON ONE CARE INC

Provider Business Mailing Address
First Line	:	1137 E MARION ST
Second Line	:	PMB 109
City	:	SHELBY
State	:	NC
Zip	:	28150-4843
Country	:	US
Telephone Number	:	704-482-5200
Fax Number	:	704-669-2573

Provider Business Practice Location Address
First Line	:	207 LEE ST
Second Line	:
City	:	SHELBY
State	:	NC
Zip	:	28150-3711
Country	:	US
Telephone Number	:	704-482-5200
Fax Number	:	704-669-2573

Authorized Official
Title or Position	:	DIRECTOR
Name	:	BRIAN GOODE
Credential	:
Telephone Number	:	704-482-5200

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	12/11/2025

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Directions to “ONE ON ONE CARE INC ” Practice Location

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