Provider Demographics
NPI:1760371454
Name:CROWDER CARE LLC
Entity type:Organization
Organization Name:CROWDER CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:CABARRUS
Authorized Official - Last Name:CROWDER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:704-999-4126
Mailing Address - Street 1:5009 BEATTIES FORD RD STE 107-204
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-2859
Mailing Address - Country:US
Mailing Address - Phone:704-999-4126
Mailing Address - Fax:704-504-7028
Practice Address - Street 1:1520 WEST BLVD STE J
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-7072
Practice Address - Country:US
Practice Address - Phone:704-221-9086
Practice Address - Fax:704-221-9086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care