Raintree Healthcare of Concord LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RAINTREE HEALTHCARE OF CONCORD LLC

Doing business as

Concord House

Practice address

2339 Odell School Rd
Concord, NC 28027-7454

Phone

(704) 280-8340

Fax

(704) 973-4019

NPI assigned

Jul 9, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Reema Owens

Title

Managing Member

Phone

(704) 763-6300

Specialties & licenses 1

Addresses

Other names 1

• Concord House Doing business as

Locations

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1275845083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 AYRSLEY TOWN BLVD STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734068",
            "telephone_number": "704-280-8340",
            "fax_number": "704-973-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 ODELL SCHOOL RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277454",
            "telephone_number": "704-280-8340",
            "fax_number": "704-973-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINTREE HEALTHCARE OF CONCORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "REEMA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "704-763-6300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Jul 9, 2010; 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.