Provider Demographics
NPI:1972068559
Name:KALCARE HEALTH CARE LLC
Entity Type:Organization
Organization Name:KALCARE HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TALYSHA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TOBIAS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:470-251-8333
Mailing Address - Street 1:6862 IDA ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-4664
Mailing Address - Country:US
Mailing Address - Phone:678-997-4815
Mailing Address - Fax:470-222-2121
Practice Address - Street 1:6862 IDA ST UNIT B
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-4664
Practice Address - Country:US
Practice Address - Phone:678-997-4815
Practice Address - Fax:470-222-2121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-07
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care