Organization
COMMUNITY CARE IN HOME LIVING ASSISTANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANESHA THOMAS (ACCOUNT MANAGEMENT)
(864) 494-1432
Entity
Organization
Contact information
Practice address
6608 REEDY CREEK RD, CHARLOTTE, NC 28215-6093
(980) 242-6568
Mailing address
PO BOX 620164, CHARLOTTE, NC 28262-0102
(980) 242-6568
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
335G00000X
Medical Foods Supplier
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/11/2025
Last updated
03/26/2026
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