Provider Demographics
NPI:1639779960
Name:CARING HOUSE HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:CARING HOUSE HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KERA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-347-1687
Mailing Address - Street 1:6350 LAKE OCONEE PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30642-6490
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1100 PITTSBURGH AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:GA
Practice Address - Zip Code:30678
Practice Address - Country:US
Practice Address - Phone:706-347-1687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care