Provider Demographics
NPI:1578656526
Name:THE CARING CONNECTION, INC
Entity Type:Organization
Organization Name:THE CARING CONNECTION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:GRIMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-257-3347
Mailing Address - Street 1:PO BOX 1141
Mailing Address - Street 2:
Mailing Address - City:WEWOKA
Mailing Address - State:OK
Mailing Address - Zip Code:74884-1141
Mailing Address - Country:US
Mailing Address - Phone:405-257-3347
Mailing Address - Fax:405-257-3349
Practice Address - Street 1:126 W 2ND ST
Practice Address - Street 2:
Practice Address - City:WEWOKA
Practice Address - State:OK
Practice Address - Zip Code:74884-2502
Practice Address - Country:US
Practice Address - Phone:405-257-3347
Practice Address - Fax:405-257-3349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7004251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK377211Medicare ID - Type UnspecifiedPROVIDER NUMBER