Concord Health Care LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL013012 Issued in NC

Legal business name

CONCORD HEALTH CARE LP

Doing business as

The Country Home

Practice address

2908 Country Home Rd
Concord, NC 28025-7628

Phone

(704) 782-5288

Fax

(704) 782-5304

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Kenneth Hodges

Title

Member Manager

Phone

(828) 738-3046

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Country Home Doing business as

Locations

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134255367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 COUNTRY HOME RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280257628",
            "telephone_number": "704-782-5288",
            "fax_number": "704-782-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 COUNTRY HOME RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280257628",
            "telephone_number": "704-782-5288",
            "fax_number": "704-782-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD HEALTH CARE LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "828-738-3046"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL013012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805645",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Country Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Concord Children'S Clinic
• Concord Christian Center
• Concord Eye Care Center, O.D., P.a.
• Concord Family Chiropractic
• Concord Health and Rehabilitation SNF LLC
• Concord House LLC
• Concord Medical Clinic, Inc.
• Concord Medical Transportation Services
• Concord Operator LLC
• Concord Pharmacy and Surgical Supply

• Assisted Living Facility in Concord, NC
• Providers in Concord, 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 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.