Provider Demographics
NPI:1184430738
Name:C&R HOMECARE SERVICES LLC.
Entity type:Organization
Organization Name:C&R HOMECARE SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING-MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:IKEISHA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CAGLE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:203-589-7152
Mailing Address - Street 1:560 ELLA T GRASSO BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519-1827
Mailing Address - Country:US
Mailing Address - Phone:203-589-7152
Mailing Address - Fax:
Practice Address - Street 1:560 ELLA T GRASSO BLVD
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1827
Practice Address - Country:US
Practice Address - Phone:203-589-7152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty