Provider Demographics
NPI:1801614748
Name:A CARTER HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:A CARTER HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:HILTON
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-429-7235
Mailing Address - Street 1:338 BROADWAY ST FL 6
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-7367
Mailing Address - Country:US
Mailing Address - Phone:888-612-1867
Mailing Address - Fax:888-900-9502
Practice Address - Street 1:338 BROADWAY ST FL 6
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-7367
Practice Address - Country:US
Practice Address - Phone:888-612-1867
Practice Address - Fax:888-900-9502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-30
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty