Ccj Adult Care IV LLC
NPI 1558038174 · Custodial Care Facility · Cherryville, NC
Ccj Adult Care IV LLC is a Custodial Care Facility organization in Cherryville, NC (NPI 1558038174).
Provider details
- NPI number
- 1558038174
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Bernice Hosch, Administrator/Operator(980) 295-3020
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Walden Pond Care Home
- Doing business as
- Walden Pond Care Home
Additional practice locations (1)
- 100 W Main Ave Apt 302Gastonia, NC 28052-4172Phone: (980) 295-3020
Registry dates
- Enumerated
- 2021-08-23
- Last updated
- 2021-08-24
- Certified
- 2021-08-24
Frequently asked questions
- What is Ccj Adult Care IV LLC's NPI number?
- Ccj Adult Care IV LLC's National Provider Identifier (NPI) is 1558038174, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ccj Adult Care IV LLC?
- Ccj Adult Care IV LLC is classified in the NPPES registry as Custodial Care Facility (Nursing & Custodial Care Facilities).
- Where is Ccj Adult Care IV LLC located?
- Ccj Adult Care IV LLC's practice location on file with NPPES is 101 Olde Coach Lane, Cherryville, NC 28021.
- What is Ccj Adult Care IV LLC's phone number?
- The practice phone number listed in the NPPES registry for Ccj Adult Care IV LLC is (980) 295-3020.
- Who is the authorized official for Ccj Adult Care IV LLC?
- The authorized official listed on Ccj Adult Care IV LLC's NPPES record is Bernice Hosch, Administrator/Operator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ccj Adult Care IV LLC's NPI active?
- Yes — Ccj Adult Care IV LLC's NPI (1558038174) is active in the NPPES registry as of the last update on 2021-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.