Provider Demographics
NPI:1043574122
Name:TARAANDTWINS LLC
Entity Type:Organization
Organization Name:TARAANDTWINS LLC
Other - Org Name:STAY AT HOME NURSING CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:BARTLETT
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, PHN
Authorized Official - Phone:310-408-9154
Mailing Address - Street 1:3213 DALEMEAD ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-6920
Mailing Address - Country:US
Mailing Address - Phone:310-408-9154
Mailing Address - Fax:310-530-5446
Practice Address - Street 1:3213 DALEMEAD ST
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6920
Practice Address - Country:US
Practice Address - Phone:310-408-9154
Practice Address - Fax:310-530-5446
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TARAANDTWINS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA664986163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty