Provider Demographics
NPI:1821217902
Name:CAROUSEL CARE HOME, INC.
Entity Type:Organization
Organization Name:CAROUSEL CARE HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:VOGELSANG
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:713-647-0349
Mailing Address - Street 1:2030 BARR ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77080-5521
Mailing Address - Country:US
Mailing Address - Phone:713-647-0349
Mailing Address - Fax:713-647-0359
Practice Address - Street 1:9024 CAROUSEL LN
Practice Address - Street 2:B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-5502
Practice Address - Country:US
Practice Address - Phone:713-647-0349
Practice Address - Fax:713-647-0359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119954310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility