Provider Demographics
NPI:1699102566
Name:CARE CENTRAL LLC
Entity type:Organization
Organization Name:CARE CENTRAL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LATINA
Authorized Official - Middle Name:
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-876-2547
Mailing Address - Street 1:3223 TRAVIS CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-7082
Mailing Address - Country:US
Mailing Address - Phone:832-876-2547
Mailing Address - Fax:281-809-8870
Practice Address - Street 1:3223 TRAVIS CREEK WAY
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:TX
Practice Address - Zip Code:77545-7082
Practice Address - Country:US
Practice Address - Phone:832-876-2547
Practice Address - Fax:281-809-8870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-08
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care