- Enrollment id
- O20151016002300
- Enrollment state
- NC
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1417323296
- Multiple npi flag
- N
- Ccn
- 347054
- Associate id
- 4486562857
- Organization name
- CAPITAL CARE RESOURCES LLC
- Doing business as name
- CENTERWELL HOME HEALTH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 308 S ACADEMY ST
- City
- LINCOLNTON
- State
- NC
- Zip code
- 280922717