Provider Demographics
NPI:1235702440
Name:CARE FROM THE START HOMECARE AGENCY, LLC
Entity Type:Organization
Organization Name:CARE FROM THE START HOMECARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-306-9593
Mailing Address - Street 1:90 NOBLE JONES CT
Mailing Address - Street 2:
Mailing Address - City:PORT WENTWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:31407-6025
Mailing Address - Country:US
Mailing Address - Phone:912-306-9593
Mailing Address - Fax:
Practice Address - Street 1:90 NOBLE JONES CT
Practice Address - Street 2:
Practice Address - City:PORT WENTWORTH
Practice Address - State:GA
Practice Address - Zip Code:31407-6025
Practice Address - Country:US
Practice Address - Phone:912-306-9593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-24
Last Update Date:2021-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health