| Organization Name: | TRIAD TELECARE, INC. |
| NPI Number: | 1730229931 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PEARLIE M. BULLOCK (ADMINISTRATOR) |
| Mailing Address: | 1324 Coltrane Mill Rd Randleman |
| State: | NC US |
| Postal Code: | 273178020 |
| Phone Number: | 3366746293 |
| Fax Number: | 3366471692 |
| NPI Enumeration Date: | 02/07/2007 |
| NPI Last Update Date: | 11/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171M00000X |
| License Number: | MHL076085 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Case Manager/Care Coordinator |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee |