Provider Demographics
NPI:1467842765
Name:CARE-A-LOT,LLC
Entity Type:Organization
Organization Name:CARE-A-LOT,LLC
Other - Org Name:CARE-A-LOT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:CHENEISE
Authorized Official - Last Name:BRIDGES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:601-783-3964
Mailing Address - Street 1:2054 LANG RD
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:MS
Mailing Address - Zip Code:39652-8625
Mailing Address - Country:US
Mailing Address - Phone:601-783-3964
Mailing Address - Fax:
Practice Address - Street 1:2054 LANG RD
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:MS
Practice Address - Zip Code:39652-8625
Practice Address - Country:US
Practice Address - Phone:601-783-3964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-26
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR872427251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health