Provider Demographics
NPI:1457920944
Name:CBW CARE LLC
Entity Type:Organization
Organization Name:CBW CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAMIKA
Authorized Official - Middle Name:RONIKA
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:NA II
Authorized Official - Phone:252-814-1003
Mailing Address - Street 1:315 EVANS ST STE 4
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-1832
Mailing Address - Country:US
Mailing Address - Phone:252-814-1003
Mailing Address - Fax:
Practice Address - Street 1:315 EVANS ST STE 4
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-1832
Practice Address - Country:US
Practice Address - Phone:252-814-1003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-21
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care