Provider Demographics
NPI:1447300058
Name:A CARING HEART CASE MANAGEMENT, INC.
Entity type:Organization
Organization Name:A CARING HEART CASE MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-206-1266
Mailing Address - Street 1:1901 TARBORO ST SW STE 102
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-3479
Mailing Address - Country:US
Mailing Address - Phone:252-206-1266
Mailing Address - Fax:
Practice Address - Street 1:1901 TARBORO ST SW STE 102
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-3479
Practice Address - Country:US
Practice Address - Phone:252-206-1266
Practice Address - Fax:252-206-1268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3419141Medicaid