MEDICARE: CAROLINA COMPANIONS 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	251C00000X	Developmentally Disabled Services Day Training Agency	HC1763	NC

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

General Provider Information

NPI Number	:	1952395337
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINA COMPANIONS INC

Provider Business Mailing Address
First Line	:	536 WINSTON RD
Second Line	:
City	:	JONESVILLE
State	:	NC
Zip	:	28642-2217
Country	:	US
Telephone Number	:	336-526-3900
Fax Number	:

Provider Business Practice Location Address
First Line	:	536 WINSTON RD
Second Line	:
City	:	JONESVILLE
State	:	NC
Zip	:	28642-2217
Country	:	US
Telephone Number	:	336-526-3900
Fax Number	:

Authorized Official
Title or Position	:	OWNER AND DIRECTOR
Name	:	DONNA RASH
Credential	:
Telephone Number	:	336-526-3900

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	01/03/2008

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Directions to “CAROLINA COMPANIONS INC ” Practice Location

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