Classic Care Holdings LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CLASSIC CARE HOLDINGS LLC

Doing business as

Classic Care Holdings

Practice address

101 Annie Parker Cir
Smithfield, NC 27577-3976

Phone

(919) 934-8976

NPI assigned

Sep 19, 2018

Organization subpart

Yes

Parent organization

CLASSIC CARE HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Mr. Vishrut Patel

Title

Coo

Phone

(757) 285-6001

Specialties & licenses 5

Addresses

Other names 1

• CLASSIC CARE HOLDINGS Doing business as

Tax ID family

Classic Care Holdings LLC3 organizations share this tax ID, including this one

Part of

Classic Care Holdings LLC

Other organizations with this tax ID 2

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

• Classic Care Holdings LLC

  dba Classic Care Holdings 103

  • Assisted Living Facility
  • Smithfield, NC
  • NPI 1295219715
  NPD tax ID
• Classic Care Holdings LLC

  dba Classic Care Homes 105

  • Assisted Living Facility
  • Smithfield, NC
  • NPI 1578047098
  NPD tax ID

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1093299745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ANNIE PARKER CIR",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275773976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ANNIE PARKER CIR",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275773976",
            "telephone_number": "919-934-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC CARE HOLDINGS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLASSIC CARE HOLDINGS LLC",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VISHRUT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "757-285-6001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLASSIC CARE HOLDINGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leigh Mears Christian, M.S., CCC-SLP
• Shaheera Baig Chughtai, D.O
• Lisa Ciaccio, PA-C
• Octavio Cieza, M.D.
• Kathleen Mary Cirillo, M.S., CCC-SLP
• Classic Care Holdings LLC (Classic Care Holdings 103)
• Classic Care Holdings LLC (Classic Care Homes 105)
• Classic Care Homes
• Classic Care Homes 103
• Classic Care Homes 105

• Assisted Living Facility in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.