Provider Demographics
NPI:1245854512
Name:CATHERINES HOSPITALITY IN HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:CATHERINES HOSPITALITY IN HOME HEALTH CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CLIFFORD
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-850-6583
Mailing Address - Street 1:210 W STONE AVE STE LR1
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-5493
Mailing Address - Country:US
Mailing Address - Phone:509-850-6583
Mailing Address - Fax:
Practice Address - Street 1:210 W STONE AVE STE LR1
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-5493
Practice Address - Country:US
Practice Address - Phone:509-850-6583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health