Provider Demographics
NPI:1528813458
Name:PATE CARE LLC
Entity type:Organization
Organization Name:PATE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EBONI
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLIS
Authorized Official - Suffix:
Authorized Official - Credentials:ASSOCIATE DEGREE
Authorized Official - Phone:989-971-3760
Mailing Address - Street 1:402 N 21ST ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48601-1311
Mailing Address - Country:US
Mailing Address - Phone:989-392-4488
Mailing Address - Fax:
Practice Address - Street 1:402 N 21ST ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-1311
Practice Address - Country:US
Practice Address - Phone:989-392-4488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health