Provider Demographics
NPI:1669756326
Name:CORPORATE CARE LLC
Entity type:Organization
Organization Name:CORPORATE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:G
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-250-0403
Mailing Address - Street 1:811 PENDLETON ST STE 2
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-3232
Mailing Address - Country:US
Mailing Address - Phone:864-250-0403
Mailing Address - Fax:864-250-0407
Practice Address - Street 1:811 PENDLETON ST STE 2
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-3232
Practice Address - Country:US
Practice Address - Phone:864-250-0403
Practice Address - Fax:864-250-0407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-29
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0767569251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health