Clarke Community Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC4459 Issued in NC

Legal business name

CLARKE COMMUNITY CARE LLC

Practice address

6529 Hudspeth Rd
Harrisburg, NC 28075-5004

Phone

(704) 455-3500

Fax

(704) 455-3503

NPI assigned

Oct 13, 2011

Organization subpart

No

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

Authorized official

Name

Daniel Bidgood

Title

Partner/Director

Phone

(704) 455-3500

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1487939161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6529 HUDSPETH RD",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280755004",
            "telephone_number": "704-455-3500",
            "fax_number": "704-455-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6529 HUDSPETH RD",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280755004",
            "telephone_number": "704-455-3500",
            "fax_number": "704-455-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKE COMMUNITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "BIDGOOD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PARTNER/DIRECTOR",
        "authorized_official_telephone_number": "704-455-3500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4459",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4459",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6602350",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3419194",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Catherine Chapman, FNP-BC
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• Jessica Patricia Cole, PHARMD
• Cody Collins, RPH
• Combs Chiropractic Clinic PC

• Home Health Agency in Harrisburg, NC
• Providers in Harrisburg, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.