Provider Demographics
NPI:1952061764
Name:CARING4HOME, LLC
Entity Type:Organization
Organization Name:CARING4HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:STARK
Authorized Official - Suffix:
Authorized Official - Credentials:RCM
Authorized Official - Phone:317-225-0489
Mailing Address - Street 1:42304 W RAMIREZ DR
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138-1819
Mailing Address - Country:US
Mailing Address - Phone:602-387-0189
Mailing Address - Fax:
Practice Address - Street 1:42304 W RAMIREZ DR
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138-1819
Practice Address - Country:US
Practice Address - Phone:602-387-0189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-20
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness