Healthcare Provider Details
I. General information
NPI: 1679401566
Provider Name (Legal Business Name): CARENORTH MEDICAL STAFFING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
600 CASH RD NE
CALHOUN GA
30701-9709
US
IV. Provider business mailing address
600 CASH RD NE
CALHOUN GA
30701-9709
US
V. Phone/Fax
- Phone: 678-986-7925
- Fax: 678-986-7925
- Phone:
- Fax: 678-986-7925
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JENNIFER
SMITH
Title or Position: OWNER
Credential:
Phone: 678-986-7925