Provider Demographics
NPI:1114349685
Name:ELDERCARE SOLUTIONS
Entity Type:Organization
Organization Name:ELDERCARE SOLUTIONS
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:EBERLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-630-0370
Mailing Address - Street 1:512 KLUMAC RD STE 2
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-6752
Mailing Address - Country:US
Mailing Address - Phone:704-630-0370
Mailing Address - Fax:
Practice Address - Street 1:415 7TH AVE SW STE 7
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-3294
Practice Address - Country:US
Practice Address - Phone:828-431-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-17
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3113251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health