Provider Demographics
NPI:1386204295
Name:CARE ASSURANCE LLC
Entity Type:Organization
Organization Name:CARE ASSURANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MURDINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEPHERD
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:470-626-8130
Mailing Address - Street 1:4783 BURFORD CT NW
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30102-6441
Mailing Address - Country:US
Mailing Address - Phone:470-626-8130
Mailing Address - Fax:
Practice Address - Street 1:4783 BURFORD CT NW
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30102-6441
Practice Address - Country:US
Practice Address - Phone:470-626-8130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty