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COUNTRY CLUB DAY ACTIVITY
NPI 1730229931
Case Manager/Care Coordinator in Randleman, NC

Active since February 07, 2007
1324 COLTRANE MILL RD, RANDLEMAN, NC 27317(336) 674-6293(336) 647-1692 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Country Club Day Activity NPPES

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

COUNTRY CLUB DAY ACTIVITY (NPI 1730229931) is a healthcare organization registered as a case manager/care coordinator in Randleman, North Carolina and active in the NPI registry since February 2007. The organization lists Pearlie M. Bullock, Administrator, as its authorized official.

NPPES Registry Identity

NPI1730229931
Entity TypeOrganization
Primary Taxonomy171M00000X
Legal Business NameTRIAD TELECARE, INC.
Location Address1324 COLTRANE MILL RDRandleman, NC 27317-8020
Mailing Address1324 Coltrane Mill RdRandleman, NC 27317-8020 · (336) 674-6293 · Fax (336) 647-1692
Phone(336) 674-6293
Fax(336) 647-1692
Organization SubpartNo
Authorized OfficialPearlie M. BullockAdministrator · (336) 674-6293
Enumeration DateFebruary 7, 2007
Last NPPES UpdateNovember 15, 2011
✔ NPI 1730229931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in NC · MHL076085
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1324 COLTRANE MILL RD, Randleman, NC 27317
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Other Names 1

Doing Business AsCountry Club Day Activity

Other Identifiers 1

Medicaid8302093NC

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

Other Providers at the Same Location NPPES 2

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

TRIAD TELECARE, INC.
Lodging
1324 COLTRANE MILL RD
RANDLEMAN, NC 27317
Randolph County (336) 574-6293
MR. CARTER LEE SHOTWELL LCSW-A
Social Worker (Clinical)
1324 COLTRANE MILL RD
RANDLEMAN, NC 27317
Randolph County (336) 674-6293

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 Triad Telecare, Inc.'s NPI number?

The NPI number for Triad Telecare, Inc. is 1730229931. It was assigned to this organization in the NPPES registry on February 7, 2007. The provider is doing business as Country Club Day Activity.

Where is Triad Telecare, Inc. located?

Triad Telecare, Inc. is located at 1324 Coltrane Mill Rd, Randleman, NC 27317. The listed phone number is (336) 674-6293.

What is Triad Telecare, Inc.'s specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Triad Telecare, Inc. was last updated on November 15, 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.