Provider Demographics
NPI:1609249622
Name:CAREGIVERS CONNECTION, LLC
Entity Type:Organization
Organization Name:CAREGIVERS CONNECTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:NASH-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-612-4112
Mailing Address - Street 1:1801 N TRYON ST
Mailing Address - Street 2:SUITE B-307
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28206-2704
Mailing Address - Country:US
Mailing Address - Phone:704-612-4112
Mailing Address - Fax:704-612-4117
Practice Address - Street 1:1801 N TRYON ST
Practice Address - Street 2:SUITE B-307
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28206-2704
Practice Address - Country:US
Practice Address - Phone:704-612-4112
Practice Address - Fax:704-612-4117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-13
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care