Provider Demographics
NPI:1386113140
Name:CARING PRIDE LLC
Entity type:Organization
Organization Name:CARING PRIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERNITA
Authorized Official - Middle Name:
Authorized Official - Last Name:OES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-233-6819
Mailing Address - Street 1:9155 SCHAEFER RD UNIT 293
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-1231
Mailing Address - Country:US
Mailing Address - Phone:210-233-6819
Mailing Address - Fax:
Practice Address - Street 1:3818 MAIDEN WAY
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-3646
Practice Address - Country:US
Practice Address - Phone:210-233-6819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-21
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No385H00000XRespite Care FacilityRespite Care