Provider Demographics
NPI:1902553159
Name:CARE TONIC HOME HEALTH LLC
Entity Type:Organization
Organization Name:CARE TONIC HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELOCHUKWU
Authorized Official - Middle Name:
Authorized Official - Last Name:EZEKAKPU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-967-0439
Mailing Address - Street 1:11 HORSESHOE LN
Mailing Address - Street 2:
Mailing Address - City:BAILEYVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04694-3036
Mailing Address - Country:US
Mailing Address - Phone:615-967-0439
Mailing Address - Fax:
Practice Address - Street 1:11 HORSESHOE LN
Practice Address - Street 2:
Practice Address - City:BAILEYVILLE
Practice Address - State:ME
Practice Address - Zip Code:04694-3036
Practice Address - Country:US
Practice Address - Phone:615-967-0439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty