EXTENDED CARE NETWORK, LLC


Address: 3434 Kildaire Farm Rd Ste 129, Cary, NC 27518-2275
Phone: (919) 238-4738

EXTENDED CARE NETWORK, LLC (NPI# 1669900973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669900973
Entity Type Organization
Organization Name EXTENDED CARE NETWORK, LLC
Other Organization Name EVERGREEN ADULT DAY SERVICES
Practice Address 3434 Kildaire Farm Rd Ste 129
Cary
NC 27518-2275
Practice Telephone (919) 238-4738
Practice Fax Number 8443639442
Mailing Telephone 9192384738
Mailing Fax Number 8443639442
Enumeration Date 2017-05-31
Last Update Date 2017-05-31
Authorized Official Name LINDA UNKYONG KIM (EXECUTIVE DIRECTOR)
Authorized Official Telephone 9192384738
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
NC Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Evergreen Adult Day Services Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities EXTENDED CARE NETWORK, LLC 3434 Kildaire Farm Rd Ste 129, Cary, NC 27518-2275

Office Location

Street Address 3434 KILDAIRE FARM RD STE 129
City CARY
State NC
Zip Code 27518-2275

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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1386086734 Resources for Seniors, Inc Clinic/Center 200 High Meadow Dr, Cary, NC 27511-5414 2013-07-26

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1558847848 Golden Horizons Adc Clinic/Center 1106 Suite C Hillandale Rd., Durham, NC 27705-2770 2018-07-19
1598257578 Henosis Managment, LLC Clinic/Center 7701 Wallace Ln, Charlotte, NC 28212-6427 2018-06-05
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1780124214 Lonnie's Heart of Hope Clinic/Center 122 Harding St, Elizabeth City, NC 27909-3009 2017-03-02
1639616725 Francisca Blanco Clinic/Center 5276 0lde School Dr, Hickory, NC 28602 2017-01-26
1649714767 Mountain View Fhc Clinic/Center 4874 Rifle Range Rd, Conover, NC 28613-8727 2016-12-08
1801260690 Caring Hearts, Inc. Clinic/Center 1600 W Howard Ave, Suite 38, Tarboro, NC 27886-4198 2015-11-17
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Competitor

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City CARY
Zip Code 27518

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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