Provider Demographics
NPI:1922737162
Name:THE CARING PRESENCE IN HOME CARE
Entity Type:Organization
Organization Name:THE CARING PRESENCE IN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAVANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:STIDHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-771-0701
Mailing Address - Street 1:805 WHIPPLE ST STE D
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-1617
Mailing Address - Country:US
Mailing Address - Phone:928-771-0701
Mailing Address - Fax:928-717-9398
Practice Address - Street 1:805 WHIPPLE ST STE D
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-1617
Practice Address - Country:US
Practice Address - Phone:928-771-0701
Practice Address - Fax:928-717-9398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-05
Last Update Date:2022-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ120376Medicaid