Provider Demographics
NPI:1174309181
Name:CARE POINT ADULT FOSTER CARE LLC
Entity type:Organization
Organization Name:CARE POINT ADULT FOSTER CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NOAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KIMANI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:205-396-8283
Mailing Address - Street 1:6 REBECCA LN
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-2590
Mailing Address - Country:US
Mailing Address - Phone:205-396-8283
Mailing Address - Fax:
Practice Address - Street 1:6 REBECCA LN
Practice Address - Street 2:
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-2590
Practice Address - Country:US
Practice Address - Phone:205-396-8283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency