Provider Demographics
NPI:1891941217
Name:AAA CARE, LLC
Entity Type:Organization
Organization Name:AAA CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:864-295-1949
Mailing Address - Street 1:PO BOX 196
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN INN
Mailing Address - State:SC
Mailing Address - Zip Code:29644-0196
Mailing Address - Country:US
Mailing Address - Phone:864-295-1949
Mailing Address - Fax:186-628-5487
Practice Address - Street 1:6135 WHITE HORSE RD UNIT 143
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29611-3832
Practice Address - Country:US
Practice Address - Phone:864-295-1949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home