Provider Demographics
NPI:1952073090
Name:CLIENT CONSCIOUS CARE, LLC
Entity Type:Organization
Organization Name:CLIENT CONSCIOUS CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LACHAUNDRA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:LASTER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:219-677-1482
Mailing Address - Street 1:365 POLK ST
Mailing Address - Street 2:
Mailing Address - City:GARY
Mailing Address - State:IN
Mailing Address - Zip Code:46402-1010
Mailing Address - Country:US
Mailing Address - Phone:219-880-0318
Mailing Address - Fax:
Practice Address - Street 1:365 POLK ST
Practice Address - Street 2:
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46402-1010
Practice Address - Country:US
Practice Address - Phone:219-880-0318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care