Provider Demographics
NPI:1467226563
Name:CARE SHINES LLC
Entity Type:Organization
Organization Name:CARE SHINES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:QUINTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GLMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-767-3236
Mailing Address - Street 1:1000 IRIS DR SW STE G3
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30094-6648
Mailing Address - Country:US
Mailing Address - Phone:678-767-3236
Mailing Address - Fax:
Practice Address - Street 1:1000 IRIS DR SW STE G3
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30094-6648
Practice Address - Country:US
Practice Address - Phone:678-767-3236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
No251E00000XAgenciesHome Health