Organization
CLB HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN LASTER (OWNER)
(704) 605-3623
Entity
Organization
Contact information
Practice address
5511 MONROE RD STE 201, CHARLOTTE, NC 28212-5503
(704) 605-3623
Mailing address
5511 MONROE RD STE 201, CHARLOTTE, NC 28212-5503
(704) 605-3623
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
342000000X
Transportation Network Company
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
08/17/2022
Last updated
01/15/2026
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