Provider Demographics
NPI:1700452323
Name:ALBERTACARE, LLC
Entity type:Organization
Organization Name:ALBERTACARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TARSHIA
Authorized Official - Middle Name:MCCRAY
Authorized Official - Last Name:PULLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-916-7783
Mailing Address - Street 1:9121 ANSON WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-5857
Mailing Address - Country:US
Mailing Address - Phone:919-916-7783
Mailing Address - Fax:919-849-3526
Practice Address - Street 1:9121 ANSON WAY STE 200
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-5857
Practice Address - Country:US
Practice Address - Phone:919-916-7783
Practice Address - Fax:919-849-3526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-03
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251S00000XAgenciesCommunity/Behavioral Health
No385H00000XRespite Care FacilityRespite Care