Provider Demographics
NPI:1821401738
Name:CARROLL PARTNERS INVESTMENT INC
Entity type:Organization
Organization Name:CARROLL PARTNERS INVESTMENT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OSMA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARROLL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:903-638-3880
Mailing Address - Street 1:PO BOX 1069
Mailing Address - Street 2:
Mailing Address - City:HAWKINS
Mailing Address - State:TX
Mailing Address - Zip Code:75765
Mailing Address - Country:US
Mailing Address - Phone:903-638-3880
Mailing Address - Fax:903-769-9105
Practice Address - Street 1:698 NORTH BEAULAH ST
Practice Address - Street 2:
Practice Address - City:HAWKINS
Practice Address - State:TX
Practice Address - Zip Code:75765
Practice Address - Country:US
Practice Address - Phone:903-769-9105
Practice Address - Fax:903-769-9019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-09
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX136763310400000X
TX134117310400000X
TX139436310400000X
TX136115310400000X
310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility