Provider Demographics
NPI:1750951935
Name:CARING AND DETERMINED HEALTHCARE
Entity type:Organization
Organization Name:CARING AND DETERMINED HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARMACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-805-5152
Mailing Address - Street 1:309 GREEN ST APT C
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23704-2454
Mailing Address - Country:US
Mailing Address - Phone:757-805-5152
Mailing Address - Fax:
Practice Address - Street 1:309 GREEN ST APT C
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23704-2454
Practice Address - Country:US
Practice Address - Phone:757-805-5152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Single Specialty