Provider Demographics
NPI:1073032298
Name:CARING CONCIERGE FOR DODD, LLC
Entity Type:Organization
Organization Name:CARING CONCIERGE FOR DODD, LLC
Other - Org Name:CARING CONCIERGE FOR DDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:CHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-770-8233
Mailing Address - Street 1:2730 TOWNTERRACE DR APT 3
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-1176
Mailing Address - Country:US
Mailing Address - Phone:310-770-8233
Mailing Address - Fax:
Practice Address - Street 1:2730 TOWNTERRACE DR APT 3
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-1176
Practice Address - Country:US
Practice Address - Phone:310-770-8233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health