Provider Demographics
NPI:1134838402
Name:CLAIBORNE CARES LLC
Entity type:Organization
Organization Name:CLAIBORNE CARES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:WENDY
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-686-1824
Mailing Address - Street 1:29 SLOAN BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT SHADE
Mailing Address - State:TN
Mailing Address - Zip Code:37145-3331
Mailing Address - Country:US
Mailing Address - Phone:615-686-1824
Mailing Address - Fax:
Practice Address - Street 1:29 SLOAN BRANCH RD
Practice Address - Street 2:
Practice Address - City:PLEASANT SHADE
Practice Address - State:TN
Practice Address - Zip Code:37145-3331
Practice Address - Country:US
Practice Address - Phone:615-686-1824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty