Provider Demographics
NPI:1679729057
Name:CAREONE HOME HEALTH AGENCY, LLC
Entity Type:Organization
Organization Name:CAREONE HOME HEALTH AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/ORGANIZER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALINE
Authorized Official - Middle Name:R
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGING MEMBER
Authorized Official - Phone:214-280-0739
Mailing Address - Street 1:700 DRY CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-7830
Mailing Address - Country:US
Mailing Address - Phone:214-280-0739
Mailing Address - Fax:
Practice Address - Street 1:700 DRY CREEK CIR
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-7830
Practice Address - Country:US
Practice Address - Phone:214-280-0739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-17
Last Update Date:2008-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health