Provider Demographics
NPI:1750955399
Name:CARRIES IN HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:CARRIES IN HOME HEALTH SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHANTANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-556-4497
Mailing Address - Street 1:1221 REDMAN BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63138-3062
Mailing Address - Country:US
Mailing Address - Phone:314-556-4497
Mailing Address - Fax:
Practice Address - Street 1:1221 REDMAN BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63138-3062
Practice Address - Country:US
Practice Address - Phone:314-556-4497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-18
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health