Provider Demographics
NPI:1295713709
Name:US CARENET HOLDINGS, LLC
Entity type:Organization
Organization Name:US CARENET HOLDINGS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HATHORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-465-9181
Mailing Address - Street 1:208 GASLIGHT BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904-3166
Mailing Address - Country:US
Mailing Address - Phone:936-465-9181
Mailing Address - Fax:936-465-9787
Practice Address - Street 1:208 GASLIGHT BLVD STE D
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-3166
Practice Address - Country:US
Practice Address - Phone:936-465-9181
Practice Address - Fax:936-465-9787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-04
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016287251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX23733101Medicaid
331333OtherJCAHO
TX23733101Medicaid