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

Ccj Adult Care LLC

Organization Adult Care Home Facility · NPI 1063189678

Ccj Adult Care LLC is an Adult Care Home Facility in Crouse, 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.

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Practice location Address checks out

1230 Saint Marks Church Rd
Crouse, NC 28033-9600
Phone: (704) 769-4101
Show map & directions

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

Adult Care Home Facility (primary) Taxonomy 311ZA0620X

Record details

NPI number1063189678
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bernice Hosch — Administrator/Operator · (980) 295-3020
Other names Ccj Adult Care Llc; St' Mark Road Care Home
NPI enumeratedAugust 23, 2021
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021
Mailing addressPo Box 74, Bessemer City, NC 28016-0074