Provider Demographics
NPI:1427387281
Name:CARESMATIC ESTATES LLC
Entity Type:Organization
Organization Name:CARESMATIC ESTATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:RHINEHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-246-6760
Mailing Address - Street 1:520 PEMBROKE LN
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-6532
Mailing Address - Country:US
Mailing Address - Phone:704-246-6760
Mailing Address - Fax:704-246-6760
Practice Address - Street 1:520 PEMBROKE LN
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-6532
Practice Address - Country:US
Practice Address - Phone:704-246-6760
Practice Address - Fax:704-246-6760
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARESMATIC ESTATES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-08
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL-090-030261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility