Kara Care Home

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

MHL 092588 Issued in NC

Legal business name

KARA CARE HOME

Practice address

712 Rockville Rd
Wake Forest, NC 27587-2462

Phone

(919) 599-5548

Fax

(919) 554-0023

NPI assigned

Mar 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Salematou DialloNPI 1760514723

Title

Administrator

Phone

(919) 599-5548

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• none Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Salematou Diallo, FNP

  • Family Nurse Practitioner
  • Benson, NC
  • NPI 1760514723
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063545549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 ROCKVILLE RD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872462",
            "telephone_number": "919-599-5548",
            "fax_number": "919-554-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 ROCKVILLE RD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872462",
            "telephone_number": "919-599-5548",
            "fax_number": "919-554-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARA CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIALLO",
        "authorized_official_first_name": "SALEMATOU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-599-5548",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "MHL 092588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804979",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• K. Kevin Neshat, DDS, MD, PA (PreservEndo)
• Abbigail Joan Kalaf, LPC, BCPCC
• Brandon Kaminski, D.C.
• Mikayli Kanae, OTR/L
• Angela Kang, DMD
• Christianna Karr
• Annie D Katowitz, DNP FNP-C
• David Alan Katz, D.O.
• Keen Supports and Services LLC
• Jennifer B Keith, PTA

• Assisted Living Facility (Mental Illness) in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Assisted Living Facility (Mental Illness) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.