Provider Demographics
NPI:1508012329
Name:CARECONNECT HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:CARECONNECT HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:LADAWNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRITTENTON MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-853-7390
Mailing Address - Street 1:1221 OLD OAK DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-5453
Mailing Address - Country:US
Mailing Address - Phone:469-853-7390
Mailing Address - Fax:
Practice Address - Street 1:1221 OLD OAK DR
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-5453
Practice Address - Country:US
Practice Address - Phone:469-853-7390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2008-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health