Provider Demographics
NPI:1922718105
Name:CARTER HOME CARE SERVICES
Entity Type:Organization
Organization Name:CARTER HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAVA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-300-3369
Mailing Address - Street 1:8020 WADI APT A306
Mailing Address - Street 2:
Mailing Address - City:WHITE LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48386-1370
Mailing Address - Country:US
Mailing Address - Phone:313-300-3369
Mailing Address - Fax:
Practice Address - Street 1:8020 WADI APT A306
Practice Address - Street 2:
Practice Address - City:WHITE LAKE
Practice Address - State:MI
Practice Address - Zip Code:48386-1370
Practice Address - Country:US
Practice Address - Phone:313-300-3369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No174200000XOther Service ProvidersMeals
No253J00000XAgenciesFoster Care Agency