Provider Demographics
NPI:1427159219
Name:SELECTCARE, INC
Entity type:Organization
Organization Name:SELECTCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:R
Authorized Official - Last Name:LEIF
Authorized Official - Suffix:
Authorized Official - Credentials:RNBSN
Authorized Official - Phone:704-400-5460
Mailing Address - Street 1:P O BOX 519
Mailing Address - Street 2:
Mailing Address - City:SHERRILLS FORD
Mailing Address - State:NC
Mailing Address - Zip Code:28673
Mailing Address - Country:US
Mailing Address - Phone:704-400-5460
Mailing Address - Fax:877-902-9897
Practice Address - Street 1:4750 COMMONS DRIVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037
Practice Address - Country:US
Practice Address - Phone:888-902-9898
Practice Address - Fax:877-902-9897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0436383332B00000X
332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1247590001Medicare NSC