Provider Demographics
NPI:1508440058
Name:CONSISTENTLY COMPASSIONATE CARE AT HOME LLC
Entity Type:Organization
Organization Name:CONSISTENTLY COMPASSIONATE CARE AT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-960-3117
Mailing Address - Street 1:27047 SHEFFIELD CT
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33983-3568
Mailing Address - Country:US
Mailing Address - Phone:941-882-2873
Mailing Address - Fax:
Practice Address - Street 1:27047 SHEFFIELD CT
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33983-3568
Practice Address - Country:US
Practice Address - Phone:941-882-2873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty