Provider Demographics
NPI:1528680444
Name:ALTRUISTIC CAREGIVER, LLC
Entity type:Organization
Organization Name:ALTRUISTIC CAREGIVER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VERA
Authorized Official - Middle Name:C
Authorized Official - Last Name:SWENGBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-246-7206
Mailing Address - Street 1:671 HARRISON DR NW
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-4537
Mailing Address - Country:US
Mailing Address - Phone:704-246-7206
Mailing Address - Fax:
Practice Address - Street 1:671 HARRISON DR NW
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-4537
Practice Address - Country:US
Practice Address - Phone:704-246-7206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-13
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care