# AUDREYS COMMUNITY CARE AGENCY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427838390
- **Authorized official:** SHANARA MINTZ (OWNER)
- **Authorized official phone:** (704) 912-9561

## Contact information

- **Practice address:** 303 HAMPTON DR, RAEFORD, NC 28376-8222
- **Practice address phone:** (704) 912-9561
- **Mailing address:** 303 HAMPTON DR, RAEFORD, NC 28376-8222
- **Mailing address phone:** (704) 912-9561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 253J00000X | Foster Care Agency | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | — |
| 332U00000X | Home Delivered Meals | — | NULL | — |
| 343800000X | Secured Medical Transport (VAN) | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 09/29/2023
- **Last updated:** 07/31/2026