Organization Active NPI

Carolina Care, LLC

  • Home Health Aide
  • Greensboro, NC
National Provider Identifier
1730249657
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HC2097 Issued in NC
Legal business name
CAROLINA CARE, LLC
Practice address
616 Pasteur Dr
Greensboro, NC 27403-1119
Phone
(336) 854-4466
Fax
(336) 854-5855
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sonja R. Saunders
Title
Accounting Manager
Phone
(336) 854-4466

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X HC1379 NC
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X HC1736 NC
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X HC2097 NC Primary

Addresses

Primary practice location

616 Pasteur Dr
Greensboro, NC 27403-1119

Mailing address

616 Pasteur Dr
Greensboro, NC 27403-1119
Phone (336) 854-4466

Other identifiers 6

IdentifierTypeStateIssuer
3408680MedicaidNC
6600429MedicaidNC
8301916MedicaidNC
6600710MedicaidNC
8301919MedicaidNC
6600797MedicaidNC

National Provider Directory

National Provider Directory

Locations

616 Pasteur Dr
Greensboro, NC 27403
Phone (336) 854-4466

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730249657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 PASTEUR DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031119",
            "telephone_number": "336-854-4466",
            "fax_number": "336-854-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 PASTEUR DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031119",
            "telephone_number": "336-854-4466",
            "fax_number": "336-854-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "SONJA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "336-854-4466"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "NC",
            "license": "HC1379",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "NC",
            "license": "HC1736",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "NC",
            "license": "HC2097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408680",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600429",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301916",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600710",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301919",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600797",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.