Organization Active NPI

Carolina Premier Care Group LLC

  • Developmentally Disabled Services Day Training Agency
  • Charlotte, NC
National Provider Identifier
1184260002
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CAROLINA PREMIER CARE GROUP LLC
Practice address
3517 Cross Winds Rd
Charlotte, NC 28227-8638
Phone
(404) 803-7130
NPI assigned
Nov 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Authorized official

Name
Danielle Bartsch
Title
President
Phone
(404) 803-7130

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

3517 Cross Winds Rd
Charlotte, NC 28227-8638

Mailing address

9723 Winged Trail CT
Charlotte, NC 28277-4695
Phone (404) 803-7130

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1184260002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9723 WINGED TRAIL CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774695",
            "telephone_number": "404-803-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 CROSS WINDS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282278638",
            "telephone_number": "404-803-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PREMIER CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "BARTSCH",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-803-7130"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.