Provider Demographics
NPI:1245192772
Name:NC CARE ESSENTIALS
Entity type:Organization
Organization Name:NC CARE ESSENTIALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWENER
Authorized Official - Prefix:
Authorized Official - First Name:SHANA
Authorized Official - Middle Name:JEWAN
Authorized Official - Last Name:GUY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-779-2947
Mailing Address - Street 1:4623 MANCHINEEL LN
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-9197
Mailing Address - Country:US
Mailing Address - Phone:202-779-2947
Mailing Address - Fax:202-779-2947
Practice Address - Street 1:4623 MANCHINEEL LN
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-9197
Practice Address - Country:US
Practice Address - Phone:202-779-2947
Practice Address - Fax:202-779-2947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-02
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities