Provider Demographics
NPI:1205001955
Name:CARING HANDS PCA AGENCY LLC
Entity Type:Organization
Organization Name:CARING HANDS PCA AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TARONDA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:GOODIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-323-1952
Mailing Address - Street 1:500 HUDSON LN
Mailing Address - Street 2:SUITE G
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5582
Mailing Address - Country:US
Mailing Address - Phone:318-323-1952
Mailing Address - Fax:318-323-1998
Practice Address - Street 1:500 HUDSON LN
Practice Address - Street 2:SUITE G
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5582
Practice Address - Country:US
Practice Address - Phone:318-323-1952
Practice Address - Fax:318-323-1998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15015251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care