Provider Demographics
NPI:1780782284
Name:ONE ON ONE CARE INC
Entity type:Organization
Organization Name:ONE ON ONE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-482-5200
Mailing Address - Street 1:1137 E MARION ST
Mailing Address - Street 2:PMB 109
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-4843
Mailing Address - Country:US
Mailing Address - Phone:704-482-5200
Mailing Address - Fax:704-669-2573
Practice Address - Street 1:207 LEE ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-3711
Practice Address - Country:US
Practice Address - Phone:704-482-5200
Practice Address - Fax:704-669-2573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300370Medicaid
NC3409107Medicaid
NC8300370BMedicaid