Organization
COMMUNITY LIVING CONCEPTS OF NC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUHAMMAD SHABAZZ (EXECUTIVE DIRECTOR)
(704) 788-2080
Entity
Organization
Contact information
Practice address
211 SOUTH CENTER ST., SUITE 403, STATESVILLE, NC 28677-5873
(704) 838-0016
(704) 838-0019
Mailing address
440 ACTION DRIVE NW, CONCORD, NC 28027
(704) 788-2080
(704) 788-2088
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409659
—
NC
05
—
8301157
—
NC
05
—
8301158
—
NC
05
—
8301477
—
NC
Enumeration date
11/21/2006
Last updated
03/09/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us