Organization Active NPI

Carolina Care Solutions and Associates LLC

  • Non-emergency Medical Transport (VAN)
  • Indian Trail, NC
National Provider Identifier
1669918595
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
CAROLINA CARE SOLUTIONS AND ASSOCIATES LLC
Practice address
1000 Van Buren Ave
Suite E
Indian Trail, NC 28079-5618
Phone
(704) 989-0994
NPI assigned
Jan 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Mr. Ezekiel George Peay III
Title
Owner
Phone
(704) 989-0994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NC Primary

Addresses

Primary practice location

1000 Van Buren Ave
Suite E
Indian Trail, NC 28079-5618

Mailing address

2633 Beulah Church Rd
Matthews, NC 28104-9211
Phone (704) 989-0994

Other names 1

  • CCSA Doing business as

National Provider Directory

National Provider Directory

Locations

1000 Van Buren Ave
Ste E
Indian Trail, NC 28079
Phone (704) 770-1862

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1669918595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 BEULAH CHURCH RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281049211",
            "telephone_number": "704-989-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 VAN BUREN AVE",
            "address_2": "SUITE E",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795618",
            "telephone_number": "704-989-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CARE SOLUTIONS AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "PEAY",
        "authorized_official_first_name": "EZEKIEL",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-989-0994",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCSA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.