Provider Demographics
NPI:1699561167
Name:NC CARE HOME LLC
Entity type:Organization
Organization Name:NC CARE HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:YADANY
Authorized Official - Middle Name:
Authorized Official - Last Name:MACEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-279-3151
Mailing Address - Street 1:6092 RALEIGH ST
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-4045
Mailing Address - Country:US
Mailing Address - Phone:813-279-3151
Mailing Address - Fax:
Practice Address - Street 1:6092 RALEIGH ST
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-4045
Practice Address - Country:US
Practice Address - Phone:813-279-3151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-19
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities