Individual provider Active NPI

Carol Denise Gunter

  • Respite Care
  • Concord, NC
National Provider Identifier
1811240047
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
MH-013210 Issued in NC
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

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
0002018189NCMDChore Provider
MH-013210NCMDRespite Care

Practice roles

OrganizationSpecialtyStatusNew patients
Enhancing the Quality of Life LLC Respite Care CurrentSince Nov 9, 2021 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.

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.

Verify at the official NPI Registry.