Provider Demographics
NPI:1700830700
Name:HOSPICE OF CABARRUS COUNTY INC.
Entity Type:Organization
Organization Name:HOSPICE OF CABARRUS COUNTY INC.
Other - Org Name:ATRIUM HEALTH HOSPICE & PALLIATIVE CARE CABARRUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AVP, FACILITY EXEC, CONT. CARE
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:STOLZENBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-512-5233
Mailing Address - Street 1:5003 HOSPICE LN
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28081-5784
Mailing Address - Country:US
Mailing Address - Phone:704-935-9434
Mailing Address - Fax:704-935-9435
Practice Address - Street 1:5003 HOSPICE LN
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28081-5784
Practice Address - Country:US
Practice Address - Phone:704-935-9434
Practice Address - Fax:704-935-9435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHOS0365251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3401508Medicaid
NC3401508Medicaid