Provider Demographics
NPI:1669211793
Name:CARISMA HOMECARE SERVICES CORP.
Entity type:Organization
Organization Name:CARISMA HOMECARE SERVICES CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TANISHA
Authorized Official - Middle Name:DEMITA
Authorized Official - Last Name:GRANTHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-635-8058
Mailing Address - Street 1:5385 MICHAEL DR
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-6773
Mailing Address - Country:US
Mailing Address - Phone:734-635-8058
Mailing Address - Fax:734-905-7734
Practice Address - Street 1:5385 MICHAEL DR
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-6773
Practice Address - Country:US
Practice Address - Phone:734-635-8058
Practice Address - Fax:734-905-7734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care