Provider Demographics
NPI:1598934465
Name:CAROUSEL CARE HOME INC
Entity Type:Organization
Organization Name:CAROUSEL CARE HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/MGR
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:VOGELSANG
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:713-647-0349
Mailing Address - Street 1:2030 BARR ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77080-5521
Mailing Address - Country:US
Mailing Address - Phone:713-647-0359
Mailing Address - Fax:
Practice Address - Street 1:9024B CAROUSEL LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-5502
Practice Address - Country:US
Practice Address - Phone:713-647-0349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102666320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities