CONCORD HOUSE LLC (NPI# 1689700809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689700809 |
| Entity Type | Organization |
| Organization Name | CONCORD HOUSE LLC |
| Other Organization Name | CONCORD HOUSE |
| Practice Address |
2339 Odell School Rd Concord NC 28027-7454 |
| Practice Telephone | 7047859501 |
| Practice Fax Number | 7047861497 |
| Mailing Telephone | 7047859501 |
| Mailing Fax Number | 7047861497 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KENNETH HODGES (MEMBER MANAGER) |
| Authorized Official Telephone | 8287383046 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | HAL013031 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7805307 | 05 |
| Other Name | Type Code |
|---|---|
| Concord House | Doing Business As Name - Organization |
| Street Address |
2339 ODELL SCHOOL RD |
| City | CONCORD |
| State | NC |
| Zip Code | 28027-7454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275845083 | Raintree Healthcare of Concord LLC | Assisted Living Facility | 2339 Odell School Rd, Concord, NC 28027-7454 | 2010-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023652252 | Medcare Transport of Nc | Non-emergency Medical Transport (VAN) | 7039 Northwinds Dr Nw, Unit C, Concord, NC 28027 | 2019-10-31 |
| 1538718770 | Carolyn Ann Broadnax | Technician | 3524 Cedar Springs Dr, Concord, NC 28027 | 2019-09-10 |
| 1447806575 | Claire-ann E Papp | Dentist | 8815 Christenbury Parkway, Suite 40, Concord, NC 28027 | 2019-08-14 |
| 1578120218 | Philip Osborn | Dentist | 5408 Nc-49, Harrisburg, NC 28027 | 2019-05-28 |
| 1639648306 | Kristen Morris Spell | Counselor | 195 Lower Cape Dr Sw Apt 107, Concord, NC 28027 | 2018-11-25 |
| 1568959625 | Laurie Ford | Counselor | 705 Samuel Adams Cir Sw, Concord, NC 28027 | 2018-04-15 |
| 1598278194 | Autumn Nobles | Specialist/Technologist | 10193 Falling Leaf Dr Nw, Concord, NC 28027 | 2017-11-06 |
| 1386192938 | Brundasudha Satti IIi | Physical Therapist | 379 Sutoforest Dr Nw, Concord, NC 28027 | 2016-09-12 |
| 1467809616 | Kathryn Teal Watts | Dentist | 5305345 Vining St Nw, #201, Concord, NC 28027 | 2016-05-18 |
| 1720443849 | Denette Carte | Health Educator | 9712 Ravenscroft Lane Nw, Concord, NC 28027 | 2015-12-16 |
| Find all providers in zip 28027 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891266011 | Letitia Trif | Assisted Living Facility | 3647 Wren Ave, Concord, CA 94519-1767 | 2018-12-16 |
| 1245746890 | A Blissful Retreat, LLC | Assisted Living Facility | 4200 Cowell Rd, Concord, CA 94518-1806 | 2017-12-19 |
| 1891149761 | Home Sweet Care Homes, Inc. | Assisted Living Facility | 1584 Dianda Dr, Concord, CA 94521-1951 | 2016-04-18 |
| 1245617620 | Magnolia Guest Home LLC | Assisted Living Facility | 1639 Fairwood Dr, Concord, CA 94521 | 2015-05-05 |
| 1942693049 | Agape Assisted Living Inc | Assisted Living Facility | 1841 Andrea Ln, Concord, CA 94519-1830 | 2015-03-12 |
| 1053718783 | Aj's Senior Care Home | Assisted Living Facility | 3938 Cowell Rd, Concord, CA 94518-1709 | 2014-11-24 |
| 1396160685 | Paradise Villa Senior Care, LLC | Assisted Living Facility | 836 San Simeon Dr, Concord, CA 94518-2245 | 2014-02-24 |
| 1265747562 | Concord Place | Assisted Living Facility | 2452 Rock Hill Church Rd Nw, Concord, NC 28027-8048 | 2010-08-11 |
| 1811141104 | Twenty Two Pack Management Corp | Assisted Living Facility | 1501 Zion Church Rd E, Concord, NC 28025-6827 | 2008-11-13 |
| 1841316635 | Volunteers of America-concord Park | Assisted Living Facility | 68 Commonwealth Ave, Concord, MA 01742-2967 | 2007-03-22 |
| Find all providers in CONCORD | ||||
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| 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.