Provider Demographics
NPI:1548690993
Name:CALLED 2 CARE
Entity type:Organization
Organization Name:CALLED 2 CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:HYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-239-0140
Mailing Address - Street 1:PO BOX 12
Mailing Address - Street 2:
Mailing Address - City:LUCAMA
Mailing Address - State:NC
Mailing Address - Zip Code:27851-0012
Mailing Address - Country:US
Mailing Address - Phone:252-239-0140
Mailing Address - Fax:252-239-0140
Practice Address - Street 1:302 S MAIN STREET
Practice Address - Street 2:
Practice Address - City:LUCAMA
Practice Address - State:NC
Practice Address - Zip Code:27851
Practice Address - Country:US
Practice Address - Phone:252-239-0140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-21
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL-098-030310400000X, 311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7806716Medicaid