Provider Demographics
NPI:1871874149
Name:ALLCARE HEALTH SOURCE, L.L.C.
Entity type:Organization
Organization Name:ALLCARE HEALTH SOURCE, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:800-720-5686
Mailing Address - Street 1:806 N ARENDELL AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:ZEBULON
Mailing Address - State:NC
Mailing Address - Zip Code:27597-2348
Mailing Address - Country:US
Mailing Address - Phone:800-720-5686
Mailing Address - Fax:800-720-5686
Practice Address - Street 1:806 N ARENDELL AVE
Practice Address - Street 2:SUITE B
Practice Address - City:ZEBULON
Practice Address - State:NC
Practice Address - Zip Code:27597-2348
Practice Address - Country:US
Practice Address - Phone:800-720-5686
Practice Address - Fax:800-720-5686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC206694251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health