OrganizationActive
Educare Community Living Corporation-North Carolina
NPI 1811517774 · Intellectual Disabilities Intermediate Care Facility · Charlotte, NC
Provider details
- NPI number
- 1811517774
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Angie Mattingly, Manager-Provider Enrollment(502) 381-3579
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
834 Tyvola Rd Ste 116
Charlotte, NC 28217-3542
Phone: (704) 519-0007
Approximate (ZIP-level) locationGet directions
Mailing address
805 N Whittington Pkwy
Louisville, KY 40222-5186
Other names (DBA / former)
- Doing business as
- Community Alternatives North Carolina
Registry dates
- Enumerated
- 2020-04-21
- Last updated
- 2020-04-21
- Certified
- 2020-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.