Provider Demographics
NPI:1528410263
Name:CARTER CARE SERVICES
Entity Type:Organization
Organization Name:CARTER CARE SERVICES
Other - Org Name:CARTER CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:N
Authorized Official - Last Name:SHINAULT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-828-0584
Mailing Address - Street 1:2360 CARDIGAN DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-7419
Mailing Address - Country:US
Mailing Address - Phone:901-828-0584
Mailing Address - Fax:901-328-8821
Practice Address - Street 1:2360 CARDIGAN DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-7419
Practice Address - Country:US
Practice Address - Phone:901-828-0584
Practice Address - Fax:901-328-8821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-06
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN078652551251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health