Provider Demographics
NPI:1770831455
Name:CARE WITH PURPOSE HOME CARE STAFFING
Entity Type:Organization
Organization Name:CARE WITH PURPOSE HOME CARE STAFFING
Other - Org Name:CRYSTAL FRAZIER
Other - Org Type:Other Name
Authorized Official - Title/Position:LPN/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:989-475-2777
Mailing Address - Street 1:4866 S WASHINGTON RD APT 4
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48601-7207
Mailing Address - Country:US
Mailing Address - Phone:989-475-2777
Mailing Address - Fax:
Practice Address - Street 1:4866 S WASHINGTON RD APT 4
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-7207
Practice Address - Country:US
Practice Address - Phone:989-475-2777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARE WITH PURPOSE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health