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THE RADBOURNE MANOR
NPI 1366677692
Custodial Care Facility - Adult Care Home in Charlotte, NC

Active since May 15, 2009
3505 ORIOLE PL, CHARLOTTE, NC 28269(704) 394-8968(704) 394-8967 Get Directions Write a Review

NPPES record last updated: September 29, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Radbourne Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE RADBOURNE MANOR (NPI 1366677692) is a healthcare organization registered as an adult care home in Charlotte, North Carolina and active in the NPI registry since May 2009. The organization lists Lisa Wigfall, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366677692
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business Name4C COMPANY, LLC
Location Address3505 ORIOLE PLCharlotte, NC 28269-1214
Mailing Address3552 Beatties Ford RoadCharlotte, NC 28216-3742 · (704) 394-8968 · Fax (704) 394-8967
Phone(704) 394-8968
Fax(704) 394-8967
Organization SubpartNo
Authorized OfficialLisa WigfallCeo · (704) 394-8968
Enumeration DateMay 15, 2009
Last NPPES UpdateSeptember 29, 2011
✔ NPI 1366677692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in NC · FCL-060-115
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
3505 ORIOLE PL, Charlotte, NC 28269
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Other Names 1

Doing Business AsThe Radbourne Manor

Other Identifiers 5

Medicaid8301662NC
Medicaid3408495NC
Medicaid7806460NC
Medicaid6006138NC
Medicaid6601443NC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORIOLE PLACE ADULT CARE HOME
Assisted Living Facility (Assisted Living, Mental Illness)
3505 ORIOLE PL
CHARLOTTE, NC 28269
Mecklenburg County (704) 494-4731

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 4C Company, LLC's NPI number?

The NPI number for 4C Company, LLC is 1366677692. It was assigned to this organization in the NPPES registry on May 15, 2009. The provider is doing business as The Radbourne Manor.

Where is 4C Company, LLC located?

4C Company, LLC is located at 3505 Oriole Pl, Charlotte, NC 28269. The listed phone number is (704) 394-8968.

What is 4C Company, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for 4C Company, LLC was last updated on September 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.