Provider Demographics
NPI:1225153190
Name:ALAMANCE ELDERCARE, INC.
Entity Type:Organization
Organization Name:ALAMANCE ELDERCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-538-8080
Mailing Address - Street 1:PO BOX 202
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27216-0202
Mailing Address - Country:US
Mailing Address - Phone:336-538-8080
Mailing Address - Fax:336-538-8534
Practice Address - Street 1:2732 ANNE ELIZABETH DR.
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27216-0202
Practice Address - Country:US
Practice Address - Phone:336-538-8080
Practice Address - Fax:336-538-8534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408609Medicaid