Provider Demographics
NPI:1730249657
Name:CAROLINA CARE, LLC
Entity type:Organization
Organization Name:CAROLINA CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SONJA
Authorized Official - Middle Name:R
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-854-4466
Mailing Address - Street 1:616 PASTEUR DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-1119
Mailing Address - Country:US
Mailing Address - Phone:336-854-4466
Mailing Address - Fax:336-854-5855
Practice Address - Street 1:616 PASTEUR DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-1119
Practice Address - Country:US
Practice Address - Phone:336-854-4466
Practice Address - Fax:336-854-5855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC1379374U00000X
NCHC1736374U00000X
NCHC2097374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408680Medicaid
NC6600429Medicaid
NC8301916Medicaid
NC6600710Medicaid
NC8301919Medicaid
NC6600797Medicaid