Organization
CARE FOCUS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE BRICKHOUSE (CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
4051 S MEMORIAL DR, WINTERVILLE, NC 28590-7873
(252) 641-0064
Mailing address
7227 LEE DEFOREST RD, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409169
—
NC
05
—
7804569
—
NC
05
—
7804570
—
NC
05
—
7804571
—
NC
05
—
8301077
—
NC
05
—
8301077B
—
NC
05
—
8301078
—
NC
05
—
8301078B
—
NC
05
—
8301078G
—
NC
Enumeration date
12/14/2006
Last updated
07/27/2007
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