Provider Demographics
NPI:1790522167
Name:CARING PRESENCE IN HOME CARE LLC
Entity type:Organization
Organization Name:CARING PRESENCE IN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAVANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:STIDHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-533-2816
Mailing Address - Street 1:3285 N REED RD
Mailing Address - Street 2:
Mailing Address - City:CHINO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86323-5027
Mailing Address - Country:US
Mailing Address - Phone:928-533-2816
Mailing Address - Fax:928-800-5194
Practice Address - Street 1:16841 N 31ST AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85053-3012
Practice Address - Country:US
Practice Address - Phone:928-533-2816
Practice Address - Fax:928-717-9398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health