Provider Demographics
NPI:1962253153
Name:CONNECTIONS WITH CARE HOME CARE LLC
Entity type:Organization
Organization Name:CONNECTIONS WITH CARE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RENAE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-532-3661
Mailing Address - Street 1:2451 BOLLING RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE RAPIDS
Mailing Address - State:NC
Mailing Address - Zip Code:27870-8240
Mailing Address - Country:US
Mailing Address - Phone:252-532-3661
Mailing Address - Fax:252-541-1465
Practice Address - Street 1:117 BLYTHE RD
Practice Address - Street 2:
Practice Address - City:GARYSBURG
Practice Address - State:NC
Practice Address - Zip Code:27831-9410
Practice Address - Country:US
Practice Address - Phone:252-532-3661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-27
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care