Provider Demographics
NPI:1902197833
Name:CARLA'S COMPANIONSHIP & CARE LLC
Entity Type:Organization
Organization Name:CARLA'S COMPANIONSHIP & CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:T
Authorized Official - Last Name:GIROLAMO
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:248-795-3135
Mailing Address - Street 1:31145 FLORALVIEW DR. S. #207
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331
Mailing Address - Country:US
Mailing Address - Phone:248-795-3135
Mailing Address - Fax:
Practice Address - Street 1:31145 FLORALVIEW DR. S. #207
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331
Practice Address - Country:US
Practice Address - Phone:248-795-3135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-26
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
FL4704165009251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0094137OtherGERIATRIC CARE
MI0094137Medicaid
MI0094137OtherREGISTERED NURSE
MI0094137OtherPRACTICAL NURSING/ VOCATIONAL NURSING