Provider Demographics
NPI:1821636291
Name:TROUTMAN CARECONNECT CORPORATION
Entity Type:Organization
Organization Name:TROUTMAN CARECONNECT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KENDALL
Authorized Official - Middle Name:FINNEY
Authorized Official - Last Name:TROUTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA-CCC/SLP
Authorized Official - Phone:704-838-9389
Mailing Address - Street 1:191 TIMBER LAKE DR
Mailing Address - Street 2:
Mailing Address - City:TROUTMAN
Mailing Address - State:NC
Mailing Address - Zip Code:28166-7687
Mailing Address - Country:US
Mailing Address - Phone:704-838-9389
Mailing Address - Fax:
Practice Address - Street 1:191 TIMBER LAKE DR
Practice Address - Street 2:
Practice Address - City:TROUTMAN
Practice Address - State:NC
Practice Address - Zip Code:28166-7687
Practice Address - Country:US
Practice Address - Phone:704-838-9389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-17
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health