Provider Demographics
NPI:1699008599
Name:CAROLYN HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:CAROLYN HOME HEALTH CARE INC
Other - Org Name:VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-633-4487
Mailing Address - Street 1:151 SILVER LAKE RD NW
Mailing Address - Street 2:STE 212
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:MN
Mailing Address - Zip Code:55112-3162
Mailing Address - Country:US
Mailing Address - Phone:651-633-4487
Mailing Address - Fax:651-633-6225
Practice Address - Street 1:151 SILVER LAKE RD NW
Practice Address - Street 2:STE 212
Practice Address - City:NEW BRIGHTON
Practice Address - State:MN
Practice Address - Zip Code:55112-3162
Practice Address - Country:US
Practice Address - Phone:651-633-4487
Practice Address - Fax:651-633-6225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN344829251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health