Provider Demographics
NPI:1477177111
Name:C&S ADULT CARE LLC, DBA DEAL CARE INN
Entity Type:Organization
Organization Name:C&S ADULT CARE LLC, DBA DEAL CARE INN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-239-2199
Mailing Address - Street 1:1002 BELL RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:ROCKWELL
Mailing Address - State:NC
Mailing Address - Zip Code:28138-7437
Mailing Address - Country:US
Mailing Address - Phone:704-239-2199
Mailing Address - Fax:704-856-8196
Practice Address - Street 1:1075 DEAL RD
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-6719
Practice Address - Country:US
Practice Address - Phone:704-857-2817
Practice Address - Fax:704-857-1628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-28
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home