The 4C Company of NC, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE 4C COMPANY OF NC, LLC

Practice address

240 Church St NE
Concord, NC 28025-4737

Phone

(980) 781-1051

NPI assigned

Apr 22, 2024

Organization subpart

No

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

Authorized official

Name

Lisa Wigfall

Title

Ceo

Phone

(704) 394-8968

Specialties & licenses 1

Addresses

Other names 1

• 4C Integrated Health Doing business as

Tax ID family

4C Integrated Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• The 4C Company of NC, LLC

  • Non-emergency Medical Transport (VAN)
  • Concord, NC
  • NPI 1417712555
  NPD tax ID
• The 4C Company of NC, LLC

  • In Home Supportive Care Agency
  • Concord, NC
  • NPI 1457639031
  NPD tax ID
• The 4C Company of NC, LLC

  • Primary Care Nurse Practitioner
  • Concord, NC
  • NPI 1932947165
  NPD tax ID

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1184479164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9805 STATESVILLE RD STE 4305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697647",
            "telephone_number": "980-245-4437",
            "fax_number": "980-245-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CHURCH ST NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254737",
            "telephone_number": "980-781-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE 4C COMPANY OF NC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "WIGFALL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-394-8968"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "4C Integrated Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Kay Terzis, FNP
• Kelsie Nicole Teune, PA-C
• Nehal P. Thakkar, MD
• Siddarth Thakur, MD
• Der Thao
• The 4C Company of NC, LLC
• The 4C Company of NC, LLC
• The 4C Company of NC, LLC
• The Charlotte-Mecklenburg Hospital Authority
• The Charlotte-Mecklenburg Hospital Authority

• Community/Behavioral Health Agency in Concord, NC
• Providers in Concord, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.