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Contact Information

CAROLINA VILLAGE COMMUNITY CARE, LLC
1122 SAM NEWELL RD STE 103
MATTHEWS, NC28105-5016
 Phone: 704-625-6598
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for CAROLINA VILLAGE COMMUNITY CARE, LLC

NPI # 1578276135
LBN Legal business name CAROLINA VILLAGE COMMUNITY CARE, LLC
Authorized official KENDRA JOHNSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/28/2022
Last updated 09/14/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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