Provider Demographics
NPI:1134098536
Name:CAREWATCH HOME HEALTH AGENCY LLC
Entity type:Organization
Organization Name:CAREWATCH HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAURIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-918-1410
Mailing Address - Street 1:1991 LAKELAND DR STE L
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-5000
Mailing Address - Country:US
Mailing Address - Phone:601-918-1410
Mailing Address - Fax:
Practice Address - Street 1:1991 LAKELAND DR STE L
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-5000
Practice Address - Country:US
Practice Address - Phone:601-918-1410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty