Provider Demographics
NPI:1346861903
Name:DEDICATED CAREGIVERS LLC
Entity Type:Organization
Organization Name:DEDICATED CAREGIVERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATION
Authorized Official - Prefix:MISS
Authorized Official - First Name:ARIANNA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:CULBRETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-729-1721
Mailing Address - Street 1:6348 WINDSOR GATE LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-4200
Mailing Address - Country:US
Mailing Address - Phone:980-729-1721
Mailing Address - Fax:
Practice Address - Street 1:2750 E W T HARRIS BLVD STE 218
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-4367
Practice Address - Country:US
Practice Address - Phone:980-729-1721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-05
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No385H00000XRespite Care FacilityRespite Care