Provider Demographics
NPI:1124990296
Name:SUTTON CARE SERVICES LLC
Entity type:Organization
Organization Name:SUTTON CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JAMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-345-1295
Mailing Address - Street 1:3811 E MORNINGSIDE DR APT 63
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47408-6300
Mailing Address - Country:US
Mailing Address - Phone:812-345-1295
Mailing Address - Fax:
Practice Address - Street 1:3811 E MORNINGSIDE DR APT 63
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47408-6300
Practice Address - Country:US
Practice Address - Phone:812-345-1295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services