Provider Demographics
NPI:1942328026
Name:WE CARE OF GOLDSBORO,INC
Entity Type:Organization
Organization Name:WE CARE OF GOLDSBORO,INC
Other - Org Name:WE CARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:COGDELL
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-778-6890
Mailing Address - Street 1:100 CROSSCUT PL
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-7887
Mailing Address - Country:US
Mailing Address - Phone:919-778-6890
Mailing Address - Fax:919-778-5681
Practice Address - Street 1:100 CROSSCUT PL
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-7887
Practice Address - Country:US
Practice Address - Phone:919-778-6890
Practice Address - Fax:919-778-5681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC1878251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601766Medicaid