MEDICARE: CAROLINA TOWNSEND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1588133987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINA TOWNSEND

Provider Business Mailing Address
First Line	:	1031 TITANITE PL
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80108-3076
Country	:	US
Telephone Number	:	303-856-6606
Fax Number	:

Provider Business Practice Location Address
First Line	:	1031 TITANITE PL
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80108-3076
Country	:	US
Telephone Number	:	303-856-6606
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2018
Last Update Date	:	11/15/2018

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Directions to “ CAROLINA TOWNSEND ” Practice Location

Language	Start Address	Practice Location

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