Provider Demographics
NPI:1194318048
Name:CARMIE LOVING CARE LLC
Entity type:Organization
Organization Name:CARMIE LOVING CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALTAGRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:JEANFRANCOIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-379-3772
Mailing Address - Street 1:5300 MEMORIAL DR STE 123G
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-3155
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5300 MEMORIAL DR STE 123G
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-3155
Practice Address - Country:US
Practice Address - Phone:678-379-3772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health