Provider Demographics
NPI: | 1396963773 |
---|---|
Name: | CONTINUUM CARE CORPORATION |
Entity type: | Organization |
Organization Name: | CONTINUUM CARE CORPORATION |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CHAPTER 11 TRUSTEE |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | SONEET |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | KAPILA CHAPTER 11 TRUSTEE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 954-761-1011 |
Mailing Address - Street 1: | PO BOX 14213 |
Mailing Address - Street 2: | |
Mailing Address - City: | FORT LAUDERDALE |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33302-4213 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 954-761-1011 |
Mailing Address - Fax: | 954-761-1033 |
Practice Address - Street 1: | 500 W. 3RD ST. |
Practice Address - Street 2: | |
Practice Address - City: | GARLAND |
Practice Address - State: | NC |
Practice Address - Zip Code: | 28441 |
Practice Address - Country: | US |
Practice Address - Phone: | 561-373-9387 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-04-23 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NC | HAL-082-005 | 310400000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility |