Provider Demographics
NPI:1487229829
Name:VERDANT CARE LLC
Entity Type:Organization
Organization Name:VERDANT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:MBA
Authorized Official - Last Name:UKARIWO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-251-3195
Mailing Address - Street 1:450 W HANES MILL RD STE 229
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27105-7405
Mailing Address - Country:US
Mailing Address - Phone:336-251-3195
Mailing Address - Fax:
Practice Address - Street 1:450 W HANES MILL RD STE 229
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27105-7405
Practice Address - Country:US
Practice Address - Phone:336-251-3195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care