Provider Demographics
NPI:1275908170
Name:CARTER HEALTH HOMECARE LLC
Entity Type:Organization
Organization Name:CARTER HEALTH HOMECARE LLC
Other - Org Name:CARTER HEALTH HOMECARE
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERRY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-591-0227
Mailing Address - Street 1:325 S BISCAYNE BLVD
Mailing Address - Street 2:APT 2519
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2306
Mailing Address - Country:US
Mailing Address - Phone:954-591-0227
Mailing Address - Fax:
Practice Address - Street 1:118 DEVONSHIRE SQ
Practice Address - Street 2:SUITE #8
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-2255
Practice Address - Country:US
Practice Address - Phone:888-791-0078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-03
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000017396253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care