BYRON DENARTUS BACON
NPI 1962905745
Case Manager/Care Coordinator in Charlotte, NC

Active since March 17, 2018
1016 EUCLID AVE, CHARLOTTE, NC 28203(704) 807-5699(704) 631-4574 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Byron Denartus Bacon NPPES

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

BYRON DENARTUS BACON (NPI 1962905745) is an individual case manager/care coordinator provider in Charlotte, North Carolina and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1962905745
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameBYRON DENARTUS BACON
Location Address1016 EUCLID AVECharlotte, NC 28203-4520
Mailing Address9611 Brookdale Dr Ste 100-122Charlotte, NC 28215-8719
Fax(704) 631-4574
Sole ProprietorNo
Enumeration DateMarch 17, 2018
NPI 1962905745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
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.

1016 EUCLID AVE, Charlotte, NC 28203

Other Providers at the Same Location NPPES 13

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

Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1016 EUCLID AVE
CHARLOTTE, NC 28203
Case Manager/Care Coordinator
1016 EUCLID AVE
CHARLOTTE, NC 28203
Case Manager/Care Coordinator
1016 EUCLID AVE
CHARLOTTE, NC 28203
Occupational Therapy Assistant
1016 EUCLID AVE
CHARLOTTE, NC 28203
Occupational Therapist (Pediatrics)
1016 EUCLID AVE
CHARLOTTE, NC 28203
Case Manager/Care Coordinator
1016 EUCLID AVE
CHARLOTTE, NC 28203
Physical Therapy Assistant
1016 EUCLID AVE
CHARLOTTE, NC 28203
Physical Therapist
1016 EUCLID AVE
CHARLOTTE, NC 28203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962905745, enumerated as an "individual" on March 17, 2018.

The provider is located at 1016 EUCLID AVE CHARLOTTE, NC 28203 and the phone number is (704) 807-5699.

Case Manager/Care Coordinator with taxonomy code 171M00000X.