Provider Demographics
NPI:1356093256
Name:CARTER HOME CARE, LLC
Entity Type:Organization
Organization Name:CARTER HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:443-330-7700
Mailing Address - Street 1:6606 PARK HEIGHTS AVE
Mailing Address - Street 2:STE. 403
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215
Mailing Address - Country:US
Mailing Address - Phone:443-330-7700
Mailing Address - Fax:443-485-5875
Practice Address - Street 1:6606 PARK HEIGHTS AVE
Practice Address - Street 2:STE. 403
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215
Practice Address - Country:US
Practice Address - Phone:443-330-7700
Practice Address - Fax:443-485-5875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health