Provider Demographics
NPI:1154721314
Name:CARING BASED HEALTHCARE SERVICES
Entity type:Organization
Organization Name:CARING BASED HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FOURRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-235-7607
Mailing Address - Street 1:7219 LYNFORD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-1127
Mailing Address - Country:US
Mailing Address - Phone:267-235-7607
Mailing Address - Fax:
Practice Address - Street 1:7219 LYNFORD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-1127
Practice Address - Country:US
Practice Address - Phone:267-235-7607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health