Provider Demographics
NPI:1922683168
Name:CARISMA'S CARE HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:CARISMA'S CARE HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARISMA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOLLIFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-429-9577
Mailing Address - Street 1:4976 PRAIRIE RANCH DR APT 122
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-0907
Mailing Address - Country:US
Mailing Address - Phone:214-429-9577
Mailing Address - Fax:469-460-9031
Practice Address - Street 1:4976 PRAIRIE RANCH DR APT 122
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-0907
Practice Address - Country:US
Practice Address - Phone:214-429-9577
Practice Address - Fax:469-460-9031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty