ASSISTEDCARE, INC

Provider Demographics

• NPI: 1821193103
• Name: ASSISTEDCARE, INC
• Entity Type: Organization
• Organization Name: ASSISTEDCARE, INC
• Authorized Official - Title/Position: PRESIDENT CEO
• Authorized Official - Prefix: MR
• Authorized Official - First Name: RUSSELL
• Authorized Official - Middle Name: D
• Authorized Official - Last Name: HERRING
• Authorized Official - Phone: 910-332-2346
• Mailing Address - Street 1: 1003 OLDE WATERFORD WAY
• Mailing Address - Street 2: SUITE 2C
• Mailing Address - City: LELAND
• Mailing Address - State: NC
• Mailing Address - Zip Code: 28451-4167
• Mailing Address - Country: US
• Mailing Address - Phone: 910-332-2346
• Mailing Address - Fax: 910-371-3462
• Practice Address - Street 1: 1003 OLDE WATERFORD WAY
• Practice Address - Street 2: SUITE 2C
• Practice Address - City: LELAND
• Practice Address - State: NC
• Practice Address - Zip Code: 28451-4167
• Practice Address - Country: US
• Practice Address - Phone: 910-332-2346
• Practice Address - Fax: 910-371-3462
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-09-13
• Last Update Date: 2010-12-13

Provider Licenses

State	License ID	Taxonomies
NC	HC1431	251E00000X
NC	HC3392	251E00000X
NC	HC3391	251E00000X
NC	HC2132	251E00000X
NC	HC1674	251E00000X
NC	HC1169	251E00000X
NC	HC1500	251E00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	251E00000X	Agencies	Home Health

Provider Identifiers

State	Identifier ID	ID Type	Issuer
NC	7100517	Medicaid
NC	6602081	Medicaid
NC	6602091	Medicaid
NC	8300115	Medicaid
NC	8300193	Medicaid
NC	8300639	Medicaid
NC	6005736	Medicaid
NC	8300003	Medicaid
NC	8703103	Medicaid
NC	6005314	Medicaid
NC	6600274	Medicaid
NC	8300002	Medicaid
NC	8300554	Medicaid
NC	8300555	Medicaid
NC	8300556	Medicaid
NC	3408524	Medicaid
NC	6005055	Medicaid
NC	6602090	Medicaid
NC	5903262	Medicaid
NC	5915330	Medicaid
NC	6005313	Medicaid
NC	8300001	Medicaid
NC	8300192	Medicaid
NC	8702068	Medicaid
NC	3410101	Medicaid
NC	6005725	Medicaid
NC	6005735	Medicaid