Provider Demographics
NPI:1861022139
Name:CARING HANDS HOME-CARE AGENCY LLC
Entity Type:Organization
Organization Name:CARING HANDS HOME-CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:ROWAN
Authorized Official - Last Name:FAKUNLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-689-0231
Mailing Address - Street 1:2111 ABUNDANCE LN
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-0352
Mailing Address - Country:US
Mailing Address - Phone:817-689-0231
Mailing Address - Fax:
Practice Address - Street 1:124 UNIONVILLE INDIAN TRAIL RD W STE B6
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-5621
Practice Address - Country:US
Practice Address - Phone:817-689-0231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-24
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care