Provider Demographics
NPI:1689413098
Name:CONCORD CARE LLC
Entity type:Organization
Organization Name:CONCORD CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:NDUBUISI
Authorized Official - Last Name:OCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-482-3891
Mailing Address - Street 1:435 METROPLEX DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-3109
Mailing Address - Country:US
Mailing Address - Phone:615-482-3891
Mailing Address - Fax:
Practice Address - Street 1:435 METROPLEX DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-3109
Practice Address - Country:US
Practice Address - Phone:615-482-3891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities