Provider Demographics
NPI:1851049670
Name:CARDINAL CARE OF HOPE MILLS
Entity Type:Organization
Organization Name:CARDINAL CARE OF HOPE MILLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:CANNON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:252-521-2939
Mailing Address - Street 1:2100 STALLINGS DR
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28504-1444
Mailing Address - Country:US
Mailing Address - Phone:125-252-1293
Mailing Address - Fax:
Practice Address - Street 1:4124 PECAN DR
Practice Address - Street 2:
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348-2423
Practice Address - Country:US
Practice Address - Phone:910-425-6530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-10
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)