Healthcare Provider Details
I. General information
NPI: 1285572909
Provider Name (Legal Business Name): KALL FOR KARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1118 BUTLER AVE
SAINT AUGUSTINE FL
32084-0726
US
IV. Provider business mailing address
1118 BUTLER AVE
ST AUGUSTINE FL
32084-0726
US
V. Phone/Fax
- Phone: 904-553-0750
- Fax:
- Phone: 904-553-0750
- Fax: 904-417-0029
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CORATTA
THOMAS
MANSELL
Title or Position: OWNER
Credential: LPN
Phone: 904-553-0750