Provider Demographics
NPI:1285351338
Name:CARRIAGE HOMES, LLC
Entity type:Organization
Organization Name:CARRIAGE HOMES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-322-1472
Mailing Address - Street 1:9730 N GRANVILLE RD STE D
Mailing Address - Street 2:
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53097-3503
Mailing Address - Country:US
Mailing Address - Phone:414-322-1472
Mailing Address - Fax:520-447-7000
Practice Address - Street 1:9730 N GRANVILLE RD STE D
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53097-3503
Practice Address - Country:US
Practice Address - Phone:414-322-1472
Practice Address - Fax:520-447-7000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility