Provider Demographics
NPI:1710744636
Name:CAROB HOME CARE LLC
Entity Type:Organization
Organization Name:CAROB HOME CARE LLC
Other - Org Name:CAROB HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JASHANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLACCLOVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-510-9816
Mailing Address - Street 1:806 GREEN VALLEY RD STE 200
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-7076
Mailing Address - Country:US
Mailing Address - Phone:888-454-0361
Mailing Address - Fax:336-510-8554
Practice Address - Street 1:806 GREEN VALLEY RD STE 200
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-7076
Practice Address - Country:US
Practice Address - Phone:888-454-0361
Practice Address - Fax:336-510-8554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care