Provider Demographics
NPI:1841983715
Name:FOREHAND, CARON A (OWNER)
Entity type:Individual
Prefix:MRS
First Name:CARON
Middle Name:A
Last Name:FOREHAND
Suffix:
Gender:F
Credentials:OWNER
Other - Prefix:MRS
Other - First Name:CARON
Other - Middle Name:A
Other - Last Name:FOREHAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:HOMEMAKER/COMPANION
Mailing Address - Street 1:424 MOUNT HOSEA CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:FL
Mailing Address - Zip Code:32352-0865
Mailing Address - Country:US
Mailing Address - Phone:850-815-1435
Mailing Address - Fax:
Practice Address - Street 1:424 MOUNT HOSEA CHURCH RD
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:FL
Practice Address - Zip Code:32352-0865
Practice Address - Country:US
Practice Address - Phone:850-815-1435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL238534376J00000X, 372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker