Boondock Express

LBN: Boondock Express
Boondock Express is an health care organization with primary practice located at 9927 Jeanette Cir , Charlotte NC 28213-2129. The organization recently has 13 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Agencies / Supports Brokerage, Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Nurse's Aide, Respite Care Facility / Respite Care Camp. Other Service Providers / Case Manager/Care Coordinator is the primary health care specialty. Boondock Express can be contacted via phone (980) 229-8303, or through Abdushahid, Hasan A via phone (980) 229-8303.

Contact Information

Primary practice address
9927 Jeanette Cir Charlotte NC 28213-2129
Phone: (980) 229-8303
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Abdushahid, Hasan A
Phone: (980) 229-8303

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Supports Brokerage 251X00000X
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Nursing Service Related Providers / Nurse's Aide 376K00000X
Respite Care Facility / Respite Care Camp 385HR2050X

Profile Details

NPI number 1932978517
LBN Legal business name Boondock Express
DBA Doing business as
Authorized official Abdushahid, Hasan A
Entity Organization
Organization subpart 1 No
Enumeration date Dec 25th, 2023
Last updated Dec 25th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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