Provider Demographics
NPI:1326792516
Name:CEG CARE HOME CARE
Entity Type:Organization
Organization Name:CEG CARE HOME CARE
Other - Org Name:CEG CARE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:D
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-240-9763
Mailing Address - Street 1:301 N MAIN ST STE 2411
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-3885
Mailing Address - Country:US
Mailing Address - Phone:336-739-0608
Mailing Address - Fax:336-245-1373
Practice Address - Street 1:301 N MAIN ST STE 2411
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-3885
Practice Address - Country:US
Practice Address - Phone:336-739-0608
Practice Address - Fax:336-245-1373
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CREG STAFFING SOLUTION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-07
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care