=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386599629
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CAROL HOMECARE AGENCY, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/02/2026
-----------------------------------------------------
Last Update Date | 03/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 489 SPRINGRIDGE RD STE B
-----------------------------------------------------
City | CLINTON
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39056-5602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 601-914-5161
-----------------------------------------------------
Fax | 601-914-3966
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 489 SPRINGRIDGE RD STE B
-----------------------------------------------------
City | CLINTON
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39056-5602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 601-914-5161
-----------------------------------------------------
Fax | 601-914-3966
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. LESLIE C LEONARD
-----------------------------------------------------
Credential | PH.D.
-----------------------------------------------------
Telephone | 601-914-5161
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------