Provider Demographics
NPI:1750565628
Name:CARE WELL OF CHARLOTTE INC
Entity type:Organization
Organization Name:CARE WELL OF CHARLOTTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CALDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-537-0052
Mailing Address - Street 1:6608 E WT HARRIS BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-5123
Mailing Address - Country:US
Mailing Address - Phone:704-537-0052
Mailing Address - Fax:704-537-0056
Practice Address - Street 1:6608 E WT HARRIS BLVD STE D
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-5123
Practice Address - Country:US
Practice Address - Phone:704-537-0052
Practice Address - Fax:704-537-0056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3453251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601579OtherMEDICAID PROVIDER NUMBER