Provider Demographics
NPI:1598653966
Name:CARRINGTON HOME CARE AGENCY LLC
Entity type:Organization
Organization Name:CARRINGTON HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DYLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-684-7341
Mailing Address - Street 1:4745 WARM SPRINGS RD STE A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-7310
Mailing Address - Country:US
Mailing Address - Phone:706-410-2740
Mailing Address - Fax:
Practice Address - Street 1:2810 E OAKLAND PARK BLVD UNIT 200-18
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33306-1801
Practice Address - Country:US
Practice Address - Phone:706-410-2740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty