Active NPI
Carolina Care One, LLC.
- Community/Behavioral Health Agency
- Charlotte, NC
National Provider Identifier
1003063330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CAROLINA CARE ONE, LLC.
- Practice address
- 3601 Beaux St
Charlotte, NC 28208-4730 - Phone
- (704) 299-2616
- NPI assigned
- Aug 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Claude Bernard McRae, BS
- Title
- Owner
- Phone
- (704) 299-2616
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3601 Beaux St
Charlotte, NC 28208-4730
Mailing address
3601 Beaux St
Charlotte, NC 28208-4730
Phone (704) 299-2616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261440000000",
"number": "1003063330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 BEAUX ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282084730",
"telephone_number": "704-299-2616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 BEAUX ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282084730",
"telephone_number": "704-299-2616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA CARE ONE, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-18",
"last_updated": "2009-12-22",
"status": "A",
"authorized_official_last_name": "MCRAE",
"authorized_official_first_name": "CLAUDE",
"authorized_official_middle_name": "BERNARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-299-2616",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BS"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000000000",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Carolina Attention Specialists - Charlotte
- Carolina Behavioral Care, P.a.
- Carolina Behavioral Health Services,PLLC
- Carolina Bone & Joint PA
- Carolina Care Group Inc.
- Carolina Care Solutions, LLC
- Carolina Center for Recovery
- Carolina Center for Women
- Carolina Chiropractic Group University PLLC
- Carolina Chiropractic of Charlotte
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.