Provider Demographics
NPI:1013244250
Name:CARITAS IN HOME SERVICES LLC
Entity Type:Organization
Organization Name:CARITAS IN HOME SERVICES LLC
Other - Org Name:FAMILY HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-220-2413
Mailing Address - Street 1:7607 EASTMARK DR
Mailing Address - Street 2:SUITE 112
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77840-4030
Mailing Address - Country:US
Mailing Address - Phone:979-846-3705
Mailing Address - Fax:979-846-2405
Practice Address - Street 1:7607 EASTMARK DR
Practice Address - Street 2:SUITE 112
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77840-4030
Practice Address - Country:US
Practice Address - Phone:979-846-3705
Practice Address - Fax:979-846-2405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-09
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747505Medicare Oscar/Certification