OrganizationActive
Extended Care of the Triad LLC
NPI 1861518334 · Adult Companion · Archdale, NC
Provider details
- NPI number
- 1861518334
- Entity type
- Organization
- Primary specialty
- Adult CompanionNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Kim Bass, Owner President(336) 687-9220
Specialties & taxonomies
Nursing Service Related Providers
Practice location
313 Trindale Rd # a
Ste 203
Archdale, NC 27263-3800
Phone: (336) 861-6826
Approximate (ZIP-level) locationGet directions
Mailing address
313 a Trindale Rd
Archdale, NC 27263
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.