Provider Demographics
NPI:1275117566
Name:CARETAKERS HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:CARETAKERS HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KYRISSTON
Authorized Official - Middle Name:SHANTELL
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-248-6082
Mailing Address - Street 1:251 CORNWALL ST
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31525-2376
Mailing Address - Country:US
Mailing Address - Phone:912-248-6082
Mailing Address - Fax:
Practice Address - Street 1:127 F ST STE 205
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-6788
Practice Address - Country:US
Practice Address - Phone:912-248-6082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-12
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health