Organization Active NPI

Cares Initiative LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Greensboro, NC
National Provider Identifier
1023901931
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
CARES INITIATIVE LLC
Practice address
1908 Elkhart Dr
Greensboro, NC 27408-4124
Phone
(919) 770-5096
NPI assigned
May 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jaquanna Hendrickson
Title
Ceo/Director
Phone
(919) 770-5096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1908 Elkhart Dr
Greensboro, NC 27408-4124

Mailing address

7474 Creedmoor Rd Ste 110
Raleigh, NC 27613-1663
Phone (919) 770-5096

Other practice location 1

221 Irelan Dr
Raleigh, NC 27606-1121
Phone (919) 770-5096

National Provider Directory

National Provider Directory

Locations

7474 Creedmoor Rd
Ste 110
Raleigh, NC 27613

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1023901931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7474 CREEDMOOR RD STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131663",
            "telephone_number": "919-770-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 ELKHART DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084124",
            "telephone_number": "919-770-5096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Irelan Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276061121",
            "country_code": "US",
            "telephone_number": "919-770-5096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARES INITIATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "JAQUANNA",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "919-770-5096"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.