Provider Demographics
NPI:1083216337
Name:BY KARRYING EMPATHY HOMECARE LLC
Entity Type:Organization
Organization Name:BY KARRYING EMPATHY HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROUSSARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-254-3037
Mailing Address - Street 1:1110 COWAN RD
Mailing Address - Street 2:SUITE B #2014
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39507
Mailing Address - Country:US
Mailing Address - Phone:228-254-3037
Mailing Address - Fax:
Practice Address - Street 1:1110 COWAN RD
Practice Address - Street 2:SUITE B #2014
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39507
Practice Address - Country:US
Practice Address - Phone:228-254-3037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BY KARRYING EMPATHY HOMECARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty