Ceicare Therapeutic Development & Health Resource Management

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

CEICARE THERAPEUTIC DEVELOPMENT & HEALTH RESOURCE MANAGEMENT

Doing business as

CeiCare Therapeutic Resources

Practice address

3020 Prosperity Church Rd
Unit 178
Charlotte, NC 28269-7197

Phone

(704) 605-5989

Fax

(980) 335-0434

NPI assigned

Jan 4, 2013

Last updated

Jan 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jay Fernando, MD

Title

Medical Director

Phone

(980) 230-6654

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CeiCare Therapeutic Resources Doing business as

Locations

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1780921148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 PROSPERITY CHURCH RD",
            "address_2": "UNIT 178",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697197",
            "telephone_number": "704-605-5989",
            "fax_number": "980-335-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 PROSPERITY CHURCH RD",
            "address_2": "UNIT 178",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697197",
            "telephone_number": "704-605-5989",
            "fax_number": "980-335-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEICARE THERAPEUTIC DEVELOPMENT & HEALTH RESOURCE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "FERNANDO",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "980-230-6654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601527",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CeiCare Therapeutic Resources",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Facility/Intermediate Care Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Nursing Facility/Intermediate Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.