Provider Demographics
NPI:1679819890
Name:GLOBAL HOME CARE, LLC
Entity Type:Organization
Organization Name:GLOBAL HOME CARE, LLC
Other - Org Name:GLOBAL CONSULTANT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:J
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:318-331-3619
Mailing Address - Street 1:558 CREEKSIDE DR
Mailing Address - Street 2:205
Mailing Address - City:LOWELL
Mailing Address - State:IN
Mailing Address - Zip Code:46356-7921
Mailing Address - Country:US
Mailing Address - Phone:318-331-3619
Mailing Address - Fax:219-690-3343
Practice Address - Street 1:4213 PRUITT RD
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:MS
Practice Address - Zip Code:39773-4517
Practice Address - Country:US
Practice Address - Phone:318-331-3619
Practice Address - Fax:219-690-3343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-14
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR878106314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS12115OtherVETERANS ADMINISTRATATION