Provider Demographics
NPI:1215799515
Name:ENTRUSTED CARE
Entity type:Organization
Organization Name:ENTRUSTED CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ENTRUSTED CARE
Authorized Official - Prefix:MS
Authorized Official - First Name:MAZHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BEGO
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:704-701-4830
Mailing Address - Street 1:3012 GRACELAND CIR
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28134-3200
Mailing Address - Country:US
Mailing Address - Phone:704-701-4830
Mailing Address - Fax:
Practice Address - Street 1:3301 CENTRAL AVE # B
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-5522
Practice Address - Country:US
Practice Address - Phone:704-701-4830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health