Albertacare, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

ALBERTACARE, LLC

Practice address

519 E Club Blvd
Durham, NC 27704-4501

Phone

(919) 908-6480

NPI assigned

Mar 3, 2022

Organization subpart

Yes

Parent organization

ALBERTACARE, LLCAs reported in NPPES

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

Authorized official

Name

Tarshia McCray Pulley

Title

Director

Phone

(919) 916-7783

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AlbertaCare Residential Doing business as

Electronic endpoints 1

Tax ID family

Albertacare LLC2 organizations share this tax ID, including this one

Part of

Albertacare LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Albertacare, LLC

  • In Home Supportive Care Agency
  • Raleigh, NC
  • NPI 1700452323
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Albertacare, LLC

  • In Home Supportive Care Agency
  • Raleigh, NC
  • NPI 1700452323
  NPPES parent name

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1154078715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 ANSON WAY STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155857",
            "telephone_number": "919-916-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 E CLUB BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277044501",
            "telephone_number": "919-908-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERTACARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALBERTACARE, LLC",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "PULLEY",
        "authorized_official_first_name": "TARSHIA",
        "authorized_official_middle_name": "MCCRAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-916-7783"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY LICENSE NUMBER",
            "identifier": "MHL-032-622",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tpulley@albertacarenc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "519 E Club Blvd",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277044501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AlbertaCare Residential",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Albanil-Rangel
• Shad Albarazanji, DDS
• Peter Benjamin Albares
• Gail A Albergo, PAC
• Jacob Robert Albert, PHARMD
• Cassandra Clay Albertson, P.A.
• Kathryn Otylia Walter Albin
• Jaleigh Albright
• Joseph Andrew Albright, PHARMD.
• Meredith Rhodes Albright

• All providers in Durham, NC
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.