Professional Care Community Service

LBN: Professional Care Community Service
Professional Care Community Service is an health care organization with primary practice located at 3126 Milton Rd Suite 217, Charlotte NC 28215-3778. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Professional Care Community Service can be contacted via phone (704) 536-7326, or through Medley, Teresia via phone (704) 536-7326.

Contact Information

Primary practice address
3126 Milton Rd Suite 217 Charlotte NC 28215-3778
Phone: (704) 536-7326
Fax: (704) 536-7147
Website:
Map and Directions
Authorized official contact:
Name: Medley, Teresia MSW
Phone: (704) 536-7326

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X North Carolina

Profile Details

NPI number 1033262233
LBN Legal business name Professional Care Community Service
DBA Doing business as
Authorized official Medley, Teresia MSW
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Aug 22nd, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033262233 NPPES
North Carolina MEDICAID 0000000

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