AUTHORACARE COLLECTIVE

Provider Demographics

• NPI: 1093774614
• Name: AUTHORACARE COLLECTIVE
• Entity Type: Organization
• Organization Name: AUTHORACARE COLLECTIVE
• Authorized Official - Title/Position: CEO
• Authorized Official - Prefix: MRS
• Authorized Official - First Name: KRISTEN
• Authorized Official - Middle Name: WITHER
• Authorized Official - Last Name: YNTEMA
• Authorized Official - Credentials: MBA, MHSA
• Authorized Official - Phone: 336-621-2500
• Mailing Address - Street 1: 2500 SUMMIT AVE
• Mailing Address - City: GREENSBORO
• Mailing Address - State: NC
• Mailing Address - Zip Code: 27405-4522
• Mailing Address - Country: US
• Mailing Address - Phone: 336-621-2500
• Mailing Address - Fax: 336-621-4516
• Practice Address - Street 1: 2500 SUMMIT AVE
• Practice Address - City: GREENSBORO
• Practice Address - State: NC
• Practice Address - Zip Code: 27405-4522
• Practice Address - Country: US
• Practice Address - Phone: 336-621-2500
• Practice Address - Fax: 336-621-4516
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-03-22
• Last Update Date: 2020-05-06

Provider Licenses

State	License ID	Taxonomies
NC	HC0374	251E00000X, 251G00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	251G00000X	Agencies	Hospice Care, Community Based
No	251E00000X	Agencies	Home Health

Provider Identifiers

State	Identifier ID	ID Type	Issuer
NC	0074B	Other	BCBS-HOMEHEALTH
NC	83-00808	Other	UHC-HOSPICE
NC	2630370	Other	UHC-PALLIATIVE CARE ASSOC
NC	5904287	Medicaid
NC	6003656	Other	UHC-HOMEHEALTH
NC	0021T	Other	BCBS HOSPICE
NC	56162	Other	GP MEDCOST-PALIATIVE CAR
NC	3401503	Medicaid
NC	3407128	Medicaid
NC	3409253	Medicaid
NC	=========	Other	VET ADM
NC	=========	Other	STATE HEALTH BENEFIT
NC	56162	Other	GP MEDCOST-PALIATIVE CAR
NC	=========	Other	MEDCOST-HOSPICE-HOMEHEALT
NC	=========	Other	CIGNA
NC	0021T	Other	BCBS HOSPICE
NC	3407128	Medicaid
NC	2630370	Other	UHC-PALLIATIVE CARE ASSOC
NC	83-00808	Other	UHC-HOSPICE
NC	3409253	Medicaid