Provider Demographics
NPI:1124462155
Name:CARE360, INC
Entity type:Organization
Organization Name:CARE360, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO PRESIDENT AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-596-1121
Mailing Address - Street 1:7711 OAK ESTATE ST
Mailing Address - Street 2:312
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-1948
Mailing Address - Country:US
Mailing Address - Phone:919-596-1123
Mailing Address - Fax:919-596-1123
Practice Address - Street 1:7711 OAK ESTATE ST
Practice Address - Street 2:312
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-1948
Practice Address - Country:US
Practice Address - Phone:919-596-1123
Practice Address - Fax:919-596-1123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-21
Last Update Date:2013-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health