Provider Demographics
NPI:1861916561
Name:CAROLYN'S LOVING HOMECARE, LLC
Entity type:Organization
Organization Name:CAROLYN'S LOVING HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RI-CHARDRIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:806-577-7676
Mailing Address - Street 1:139 S CLARK RD APT 25
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-9002
Mailing Address - Country:US
Mailing Address - Phone:806-577-7676
Mailing Address - Fax:
Practice Address - Street 1:14934 WEBB CHAPEL RD STE 16B
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-2301
Practice Address - Country:US
Practice Address - Phone:972-292-7399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-03
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care