Provider Demographics
NPI:1629660139
Name:WINSTON CARES LLC
Entity Type:Organization
Organization Name:WINSTON CARES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:GAMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-344-5577
Mailing Address - Street 1:PO BOX 611
Mailing Address - Street 2:
Mailing Address - City:TEMPERANCE
Mailing Address - State:MI
Mailing Address - Zip Code:48182-0611
Mailing Address - Country:US
Mailing Address - Phone:734-344-5577
Mailing Address - Fax:734-244-5353
Practice Address - Street 1:9035 LEWIS AVE
Practice Address - Street 2:
Practice Address - City:TEMPERANCE
Practice Address - State:MI
Practice Address - Zip Code:48182-1609
Practice Address - Country:US
Practice Address - Phone:343-445-5777
Practice Address - Fax:734-244-5353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-05
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care