Provider Demographics
NPI:1740008721
Name:CUDDLY CARE PERSONAL CARE SERVICES LLC
Entity type:Organization
Organization Name:CUDDLY CARE PERSONAL CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN-CRUMB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-243-7810
Mailing Address - Street 1:1410 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:MICHIGAN CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46360-3764
Mailing Address - Country:US
Mailing Address - Phone:219-243-7810
Mailing Address - Fax:888-984-9144
Practice Address - Street 1:1410 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:MICHIGAN CITY
Practice Address - State:IN
Practice Address - Zip Code:46360-3764
Practice Address - Country:US
Practice Address - Phone:219-243-7810
Practice Address - Fax:888-984-9144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-30
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care