Provider Demographics
NPI:1255124343
Name:FOREVER HOME SITTING SERVICES LLC
Entity type:Organization
Organization Name:FOREVER HOME SITTING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:318-237-5298
Mailing Address - Street 1:PO BOX 1221
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:LA
Mailing Address - Zip Code:71418-1221
Mailing Address - Country:US
Mailing Address - Phone:318-237-5298
Mailing Address - Fax:
Practice Address - Street 1:200 TWIN LAKE RD
Practice Address - Street 2:
Practice Address - City:GRAYSON
Practice Address - State:LA
Practice Address - Zip Code:71435-3577
Practice Address - Country:US
Practice Address - Phone:318-237-5298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care