Provider Demographics
NPI:1275762825
Name:CARE N ASSIST LLC
Entity Type:Organization
Organization Name:CARE N ASSIST LLC
Other - Org Name:HOMEJOY OF KALAMAZOO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:STORY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:269-598-9327
Mailing Address - Street 1:1821 WHITES RD STE B
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49008-4805
Mailing Address - Country:US
Mailing Address - Phone:269-598-9327
Mailing Address - Fax:269-743-4045
Practice Address - Street 1:1821 WHITES RD STE B
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49008-4805
Practice Address - Country:US
Practice Address - Phone:269-598-9327
Practice Address - Fax:269-743-4045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-03
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704210842253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI7788442Medicaid