Provider Demographics
NPI:1841957917
Name:CARE SMART, LLC
Entity type:Organization
Organization Name:CARE SMART, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ONOKE
Authorized Official - Last Name:IDAEWOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-480-5315
Mailing Address - Street 1:2705 EASY ST
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-6067
Mailing Address - Country:US
Mailing Address - Phone:678-480-5315
Mailing Address - Fax:678-669-1693
Practice Address - Street 1:2400 HERODIAN WAY SE STE 175
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-8544
Practice Address - Country:US
Practice Address - Phone:678-480-5315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management