Organization Active NPI

Cre Care Management

  • Case Management Agency
  • Gastonia, NC
National Provider Identifier
1033315692
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CRE CARE MANAGEMENT
Practice address
635 Cox Rd Ste F
Gastonia, NC 28054-3441
Phone
(704) 864-2927
Fax
(704) 864-2947
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Elizabeth Hawk, BA, QP
Title
Director
Phone
(704) 864-2927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

635 Cox Rd Ste F
Gastonia, NC 28054-3441

Mailing address

635 Cox Rd Ste F
Gastonia, NC 28054-3441
Phone (704) 864-2927

Other identifiers 2

IdentifierTypeStateIssuer
6603640MedicaidNC
8301401MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Cre Care Management3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033315692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 COX RD STE F",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543441",
            "telephone_number": "704-864-2927",
            "fax_number": "704-864-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 COX RD STE F",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543441",
            "telephone_number": "704-864-2927",
            "fax_number": "704-864-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRE CARE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAWK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-864-2927",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA, QP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603640",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301401",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.