Provider Demographics
| NPI: | 1457892762 |
|---|---|
| Name: | CARE HOLDINGS, LLC |
| Entity type: | Organization |
| Organization Name: | CARE HOLDINGS, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | DELENA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | KESTO |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 904-304-7868 |
| Mailing Address - Street 1: | 21700 NORTHWESTERN HWY |
| Mailing Address - Street 2: | SUITE 870 |
| Mailing Address - City: | SOUTHFIELD |
| Mailing Address - State: | MI |
| Mailing Address - Zip Code: | 48075-4906 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 904-304-7868 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 21700 NORTHWESTERN HWY |
| Practice Address - Street 2: | SUITE 870 |
| Practice Address - City: | SOUTHFIELD |
| Practice Address - State: | MI |
| Practice Address - Zip Code: | 48075-4906 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 904-304-7868 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2017-03-20 |
| Last Update Date: | 2017-03-20 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| MI | 103K00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Single Specialty |