WALDEN POND CARE HOME
NPI 1558038174
Custodial Care Facility in Cherryville, NC

Q: What is Ccj Adult Care IV LLC's NPI number?

The NPI number for Ccj Adult Care IV LLC is 1558038174. It was assigned to this organization in the NPPES registry on August 23, 2021. The provider is doing business as Walden Pond Care Home.

Q: What is Ccj Adult Care IV LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

Active since August 23, 2021

101 OLDE COACH LANE, CHERRYVILLE, NC 28021(980) 295-3020 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Walden Pond Care Home NPPES

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

WALDEN POND CARE HOME (NPI 1558038174) is a healthcare organization registered as a custodial care facility in Cherryville, North Carolina and active in the NPI registry since August 2021. The organization maintains a secondary practice location in Gastonia and lists Bernice R Hosch, Administrator/operator, as its authorized official.

NPPES Registry Identity

NPI1558038174

Entity TypeOrganization

Primary Taxonomy311Z00000X

Legal Business NameCCJ ADULT CARE IV LLC

Location Address101 OLDE COACH LANECherryville, NC 28021

Mailing AddressPo Box 74Bessemer City, NC 28016-0074 · (980) 295-3020

Phone(980) 295-3020

Organization SubpartNo

Authorized OfficialBernice R HoschAdministrator/operator · (980) 295-3020

Enumeration DateAugust 23, 2021

Last NPPES UpdateAugust 24, 2021

NPPES CertifiedAugust 24, 2021

✔ NPI 1558038174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities

Taxonomy Code311Z00000X

Definition

A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.

101 OLDE COACH LANE, Cherryville, NC 28021

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Other Names 1

Doing Business AsWalden Pond Care Home

Secondary Practice Location 1

Location 1100 W Main Ave Apt 302Gastonia, NC 28052-4172 · Phone (980) 295-3020

Other Identifiers 1

OtherFCL-036-035State Of North Carolina

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 Ccj Adult Care IV LLC's NPI number?

The NPI number for Ccj Adult Care IV LLC is 1558038174. It was assigned to this organization in the NPPES registry on August 23, 2021. The provider is doing business as Walden Pond Care Home.

Where is Ccj Adult Care IV LLC located?

Ccj Adult Care IV LLC is located at 101 Olde Coach Lane, Cherryville, NC 28021. The listed phone number is (980) 295-3020.

What is Ccj Adult Care IV LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

When was this NPI record last updated?

The NPPES record for Ccj Adult Care IV LLC was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.