Provider Demographics
NPI:1407110455
Name:A CARING CONNECTION
Entity Type:Organization
Organization Name:A CARING CONNECTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YOLONDA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:CARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-583-6440
Mailing Address - Street 1:2864 ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-8537
Mailing Address - Country:US
Mailing Address - Phone:817-583-6440
Mailing Address - Fax:
Practice Address - Street 1:2864 ANDREWS DR
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-8537
Practice Address - Country:US
Practice Address - Phone:817-583-6440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home