Provider Demographics
NPI:1417036682
Name:MULTI CARE SERVICES, INC
Entity Type:Organization
Organization Name:MULTI CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSHING
Authorized Official - Suffix:
Authorized Official - Credentials:QSAP, QDDP, QMHP
Authorized Official - Phone:704-861-8011
Mailing Address - Street 1:306 S COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-0450
Mailing Address - Country:US
Mailing Address - Phone:704-861-8011
Mailing Address - Fax:704-861-8086
Practice Address - Street 1:306 S COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-0450
Practice Address - Country:US
Practice Address - Phone:704-861-8011
Practice Address - Fax:704-861-8086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0037571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6006023Medicaid
NC8300622GMedicaid
NC8300622BMedicaid
NC8300622HMedicaid
NC8300622Medicaid
NC3418183Medicaid