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Organization

ASSISTEDCARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RUSSELL D. HERRING (PRESIDENT CEO)
(910) 332-2346
Entity
Organization

Contact information

Practice address
1003 OLDE WATERFORD WAY, SUITE 2C, LELAND, NC 28451-4167
(910) 332-2346
(910) 371-3462
Mailing address
1003 OLDE WATERFORD WAY, SUITE 2C, LELAND, NC 28451-4167
(910) 332-2346
(910) 371-3462

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC1169
NC
251E00000X
Home Health Agency
HC1431
NC
251E00000X
Home Health Agency
HC1500
NC
251E00000X
Home Health Agency
HC1674
NC
251E00000X
Home Health Agency
HC2132
NC
251E00000X
Home Health Agency
Primary
HC3391
NC
251E00000X
Home Health Agency
HC3392
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3408524
NC
05
3410101
NC
05
5903262
NC
05
5915330
NC
05
6005055
NC
05
6005313
NC
05
6005314
NC
05
6005725
NC
05
6005735
NC
05
6005736
NC
05
6600274
NC
05
6602081
NC
05
6602090
NC
05
6602091
NC
05
7100517
NC
05
8300001
NC
05
8300002
NC
05
8300003
NC
05
8300115
NC
05
8300192
NC
05
8300193
NC
05
8300554
NC
05
8300555
NC
05
8300556
NC
05
8300639
NC
05
8702068
NC
05
8703103
NC
Enumeration date
09/13/2006
Last updated
12/13/2010
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