Provider Demographics
NPI:1932060191
Name:C.A.R.S.O.N. HOUSE LLC
Entity type:Organization
Organization Name:C.A.R.S.O.N. HOUSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARLETTA
Authorized Official - Middle Name:S
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-538-3449
Mailing Address - Street 1:33 CLINTON AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44301-2844
Mailing Address - Country:US
Mailing Address - Phone:216-538-3449
Mailing Address - Fax:
Practice Address - Street 1:33 CLINTON AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44301-2844
Practice Address - Country:US
Practice Address - Phone:216-538-3449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-18
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty