Healthcare Provider Details

I. General information

NPI: 1376127852
Provider Name (Legal Business Name): CAREASSIST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2021
Last Update Date: 06/22/2021
Certification Date: 06/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1775 GRAHAM AVE STE 204
HENDERSON NC
27536-2997
US

IV. Provider business mailing address

1775 GRAHAM AVE STE 204
HENDERSON NC
27536-2997
US

V. Phone/Fax

Practice location:
  • Phone: 252-598-1018
  • Fax: 919-869-2474
Mailing address:
  • Phone: 252-598-1018
  • Fax: 919-869-2474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. KAREN HANKS
Title or Position: AGENCY DIRECTOR
Credential:
Phone: 919-690-5724