1922087212 NPI number — CARING CORPORATION 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 1922087212 NPI number — CARING CORPORATION INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARING CORPORATION 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:
TROY HEALTH AND REHABILITATION CENTER
Provider Other Organization Name Type Code:
3
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:
1922087212
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/19/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
515 ELBA HIGHWAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TROY
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36079-5013
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
334-566-0880
Provider Business Mailing Address Fax Number:
334-566-8066

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
515 ELBA HIGHWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TROY
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36079-5013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-566-0880
Provider Business Practice Location Address Fax Number:
334-566-8066
Provider Enumeration Date:
01/13/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KELLY
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
WARREN
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
334-566-0880

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  09354 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 015213 , issued by the state of ( AL ) . This identifiers is of the category "MEDICARE ID-TYPE UNSPECIFIED".
  • Identifier: 51009265 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 47542605 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".