Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ccj Adult Care IV LLC

Organization Custodial Care Facility · NPI 1558038174

Ccj Adult Care IV LLC is a Custodial Care Facility in Cherryville, North Carolina. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

101 Olde Coach Ln
Cherryville, NC 28021
Phone: (980) 295-3020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 W Main Ave Apt 302, Gastonia, NC 28052-4172 — (980) 295-3020

Specialties & licences

Custodial Care Facility (primary) Taxonomy 311Z00000X

Record details

NPI number1558038174
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bernice Hosch — Administrator/Operator · (980) 295-3020
Other names Walden Pond Care Home; Walden Pond Care Home
NPI enumeratedAugust 23, 2021
Last updated in NPPESAugust 24, 2021
Certification dateAugust 24, 2021
Mailing addressPo Box 74, Bessemer City, NC 28016-0074