Provider Demographics
NPI:1073837530
Name:COMPASSIONATE CAREGIVERS OF THE CAROLINAS, INC
Entity Type:Organization
Organization Name:COMPASSIONATE CAREGIVERS OF THE CAROLINAS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMIKO
Authorized Official - Middle Name:
Authorized Official - Last Name:CHILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-309-4926
Mailing Address - Street 1:PO BOX 25851
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28229-5851
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9114 ATLAS CEDAR DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-7130
Practice Address - Country:US
Practice Address - Phone:704-309-4926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health