Active NPI
Carol Denise Gunter
- Respite Care
- Concord, NC
National Provider Identifier
1811240047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- MH-013210
- Practice address
- 1036 Branchview Dr Ste 104
Concord, NC 28025-0112 - Phone
- (980) 248-1900
- NPI assigned
- Oct 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | 0002018189 | NC | |
| Adult Companion | 372600000X | 0002018189 | NC | |
| Respite Care | 385H00000X | MH-013210 | NC | Primary |
Addresses
Primary practice location
1036 Branchview Dr Ste 104
Concord, NC 28025-0112
Mailing address
1036 Branchview Dr Ste 104
Concord, NC 28025-0112
Phone (980) 248-1900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Concord | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0002018189 | NC | MD | Chore Provider |
| MH-013210 | NC | MD | Respite Care |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enhancing the Quality of Life LLC | Respite Care | Current | Accepting new patients |
Locations
1036 Branchview Dr
Ste 104
Concord, NC 28025
Phone (980) 248-1900
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Concord, NC
- NPI 1154998441
Respite Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1811240047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1036 BRANCHVIEW DR STE 104",
"city": "CONCORD",
"state": "NC",
"postal_code": "280250112",
"telephone_number": "980-248-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1036 BRANCHVIEW DR STE 104",
"city": "CONCORD",
"state": "NC",
"postal_code": "280250112",
"telephone_number": "980-248-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNTER",
"first_name": "CAROL",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-25",
"last_updated": "2021-11-03",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "NC",
"license": "0002018189",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NC",
"license": "0002018189",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NC",
"license": "MH-013210",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Concord",
"affiliation": "N",
"endpointDescription": "EMAIL",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1036 Branchview Dr Ste 104",
"city": "Concord",
"state": "NC",
"country_code": "US",
"postal_code": "280250112",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.