CAROLINA COLLABORATIVE COMMUNITY CARE (4C)
NPI 1386387165
Registered Nurse - Case Management in Fayetteville, NC
Active since April 19, 2022
About Carolina Collaborative Community Care (4c) NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLINA COLLABORATIVE COMMUNITY CARE (4C) (NPI 1386387165) is a healthcare organization registered as a case management in Fayetteville, North Carolina and active in the NPI registry since April 2022. The organization lists Delano K. Miller, Executive Director, as its authorized official.
NPPES Registry Identity
NPI1386387165
Entity TypeOrganization
Primary Taxonomy163WC0400X
Legal Business NameCAROLINA COLLABORATIVE COMMUNITY CARE, INC
Location Address225 GREEN ST STE 1006Fayetteville, NC 28301-1700
Mailing Address225 Green St Ste 1006Fayetteville, NC 28301-1700 · (910) 485-1250
Phone(910) 485-1250
Organization SubpartNo
Authorized OfficialDelano K. MillerExecutive Director · (910) 487-8451
Enumeration DateApril 19, 2022
Last NPPES UpdateApril 27, 2023
NPPES CertifiedApril 27, 2023
✔ NPI 1386387165 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers
Taxonomy Code163WC0400X
225 GREEN ST STE 1006, Fayetteville, NC 28301
Other Names 1
Doing Business AsCarolina Collaborative Community Care (4c)
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386387165, enumerated as an "organization" on April 19, 2022.
The provider is located at 225 GREEN ST STE 1006 FAYETTEVILLE, NC 28301 and the phone number is (910) 485-1250.
Registered Nurse with taxonomy code 163WC0400X and a focus in Case Management.
