Organization
CLASSIC CARE HOLDINGS LLC
Active
Parent organization
CLASSIC CARE HOLDINGS LLC
Other names
CLASSIC CARE HOMES 105
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLASSIC CARE HOLDINGS LLC
Authorized official
VISHRUT PATEL (COO)
(919) 934-8976
Entity
Organization
Contact information
Practice address
105 ANNIE PARKER CIR, SMITHFIELD, NC 27577-3968
(919) 934-8976
Mailing address
101 ANNIE PARKER CIR, SMITHFIELD, NC 27577-3976
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
09/20/2018
Last updated
09/24/2018
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