Provider Demographics
NPI:1780383489
Name:CARE STARTS AT HOME LLC
Entity type:Organization
Organization Name:CARE STARTS AT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAKITTA
Authorized Official - Middle Name:DIANYALE
Authorized Official - Last Name:MCLEOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-670-4354
Mailing Address - Street 1:2501 OWLANDS CT
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-4127
Mailing Address - Country:US
Mailing Address - Phone:910-670-4354
Mailing Address - Fax:
Practice Address - Street 1:2501 OWLANDS CT
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-4127
Practice Address - Country:US
Practice Address - Phone:910-670-4354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care