Provider Demographics
NPI:1427361666
Name:CARING HANDS PERSONAL CARE LLC
Entity Type:Organization
Organization Name:CARING HANDS PERSONAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:GHOLAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-441-3537
Mailing Address - Street 1:PO BOX 177
Mailing Address - Street 2:
Mailing Address - City:PRENTISS
Mailing Address - State:MS
Mailing Address - Zip Code:39474-0177
Mailing Address - Country:US
Mailing Address - Phone:601-792-9329
Mailing Address - Fax:601-792-0664
Practice Address - Street 1:1814 COLUMBIA AVE. STE. B
Practice Address - Street 2:
Practice Address - City:PRENTISS
Practice Address - State:MS
Practice Address - Zip Code:39474
Practice Address - Country:US
Practice Address - Phone:601-792-9329
Practice Address - Fax:601-792-0664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-16
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS02837348Medicaid
MS09559043Medicaid