1679862254 NPI number — SINGLETON CARE INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679862254 NPI number — SINGLETON CARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SINGLETON CARE INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679862254
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/04/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3940 FOUNTAIN GROVE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HIGH POINT
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27265-8052
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
336-501-8791
Provider Business Mailing Address Fax Number:
336-307-3068

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 CENTERVIEW DR
Provider Second Line Business Practice Location Address:
STE 307
Provider Business Practice Location Address City Name:
GREENSBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27407-3713
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-285-7176
Provider Business Practice Location Address Fax Number:
336-285-7178
Provider Enumeration Date:
04/04/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SINGLETON
Authorized Official First Name:
MOSES
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
336-285-7176

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)