Healthcare Provider Details

I. General information

NPI: 1669251930
Provider Name (Legal Business Name): CARING CORNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2023
Last Update Date: 11/28/2023
Certification Date: 11/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 W 3RD ST STE 4
THIBODAUX LA
70301-3059
US

IV. Provider business mailing address

711 W 3RD ST STE 4
THIBODAUX LA
70301-3059
US

V. Phone/Fax

Practice location:
  • Phone: 833-902-2299
  • Fax:
Mailing address:
  • Phone: 833-902-2299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: BRIANNE GEORGE
Title or Position: CEO
Credential:
Phone: 833-322-2299