Provider Demographics
NPI:1255881421
Name:ADEPT DEVELPOMENT
Entity type:Organization
Organization Name:ADEPT DEVELPOMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SWARINGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-792-6009
Mailing Address - Street 1:2216 CARTER DR
Mailing Address - Street 2:
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28001-9647
Mailing Address - Country:US
Mailing Address - Phone:704-792-6009
Mailing Address - Fax:
Practice Address - Street 1:921 ADELAIDE ST
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-5056
Practice Address - Country:US
Practice Address - Phone:704-792-6009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-11
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC40335890Medicaid