Provider Demographics
NPI:1992867915
Name:ELDERCARE SOLUTIONS
Entity Type:Organization
Organization Name:ELDERCARE SOLUTIONS
Other - Org Name:COMFORT KEEPERS 186
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:EBERLY
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:704-433-7554
Mailing Address - Street 1:512 KLUMAC RD STE 9
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-6752
Mailing Address - Country:US
Mailing Address - Phone:704-630-0370
Mailing Address - Fax:704-630-0788
Practice Address - Street 1:512 KLUMAC RD STE 9
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-6752
Practice Address - Country:US
Practice Address - Phone:704-630-0370
Practice Address - Fax:704-630-0788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2487251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601061Medicaid
NC3408033Medicaid
NC6601062Medicaid