Provider Demographics
NPI:1669985982
Name:CREATED 2 CARE LLC
Entity type:Organization
Organization Name:CREATED 2 CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LASHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:PCA
Authorized Official - Phone:803-238-5341
Mailing Address - Street 1:4920 HARD SCRABBLE RD APT 406
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-9368
Mailing Address - Country:US
Mailing Address - Phone:803-238-5341
Mailing Address - Fax:
Practice Address - Street 1:4920 HARD SCRABBLE RD APT 406
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-9368
Practice Address - Country:US
Practice Address - Phone:803-238-5341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-08
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care