Provider Demographics
NPI:1477368140
Name:CARE LIKE HOME
Entity type:Organization
Organization Name:CARE LIKE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAQUANTA
Authorized Official - Middle Name:BURKS
Authorized Official - Last Name:BRIDGES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-643-8158
Mailing Address - Street 1:166 RIDGECREST LOOP
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-6048
Mailing Address - Country:US
Mailing Address - Phone:205-643-8158
Mailing Address - Fax:205-876-8246
Practice Address - Street 1:109 W TROY ST # 1215
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-4516
Practice Address - Country:US
Practice Address - Phone:205-643-8158
Practice Address - Fax:205-876-8246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care