Provider Demographics
NPI:1609648492
Name:C&C HOMECARE
Entity Type:Organization
Organization Name:C&C HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CORINNE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEPP
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:701-321-5727
Mailing Address - Street 1:PO BOX 504
Mailing Address - Street 2:
Mailing Address - City:ASHLEY
Mailing Address - State:ND
Mailing Address - Zip Code:58413-0504
Mailing Address - Country:US
Mailing Address - Phone:701-321-5727
Mailing Address - Fax:701-288-3581
Practice Address - Street 1:609 4TH ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:SD
Practice Address - Zip Code:57437
Practice Address - Country:US
Practice Address - Phone:605-290-1827
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care