Provider Demographics
NPI:1184759532
Name:TOTAL CARE AND CONCERN INC
Entity type:Organization
Organization Name:TOTAL CARE AND CONCERN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:MAXWELL
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-573-1444
Mailing Address - Street 1:12615 HASHANLI PL
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-3501
Mailing Address - Country:US
Mailing Address - Phone:704-573-1444
Mailing Address - Fax:704-573-1117
Practice Address - Street 1:12615 HASHANLI PL
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-3501
Practice Address - Country:US
Practice Address - Phone:704-573-1444
Practice Address - Fax:704-573-1117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409552Medicaid