Provider Demographics
NPI:1689223588
Name:CAREBRAND HEALTH CARE LLC
Entity Type:Organization
Organization Name:CAREBRAND HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAWNDRA
Authorized Official - Middle Name:LASTER
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:678-480-7915
Mailing Address - Street 1:106 LOBLOLLY LN
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31721-7724
Mailing Address - Country:US
Mailing Address - Phone:229-338-7778
Mailing Address - Fax:229-338-7774
Practice Address - Street 1:106 LOBLOLLY LN
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31721-7724
Practice Address - Country:US
Practice Address - Phone:229-338-7778
Practice Address - Fax:229-338-7774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care