Provider Demographics
NPI:1164993028
Name:CATO CARE LLC
Entity Type:Organization
Organization Name:CATO CARE LLC
Other - Org Name:BRIGHTSTAR CARE OF FAYETTEVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AGENCY DIRECTOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:RUDOLPH
Authorized Official - Middle Name:
Authorized Official - Last Name:OTTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-615-6700
Mailing Address - Street 1:90 COMMERCE DR STE C
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-7519
Mailing Address - Country:US
Mailing Address - Phone:470-615-6700
Mailing Address - Fax:470-615-6701
Practice Address - Street 1:90 COMMERCE DR STE C
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-7519
Practice Address - Country:US
Practice Address - Phone:470-615-6700
Practice Address - Fax:470-615-6701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome HealthGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAPHCP010352OtherGA STATE LICENSE