Provider Demographics
NPI:1104066489
Name:NEBCARE, INC.
Entity type:Organization
Organization Name:NEBCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:STOREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-221-3822
Mailing Address - Street 1:1711 WARM SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-8026
Mailing Address - Country:US
Mailing Address - Phone:706-221-3822
Mailing Address - Fax:706-221-4355
Practice Address - Street 1:1711 WARM SPRINGS RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-8026
Practice Address - Country:US
Practice Address - Phone:706-221-3822
Practice Address - Fax:706-221-4355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-26
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
GA131812332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA529484OtherWELLCARE
GA003175682AMedicaid
GA141162OtherBUSINESS LICENSE
GA529484OtherWELLCARE