Provider Demographics
NPI:1437964442
Name:CARNELIAN SOCIAL SERVICES LLC
Entity type:Organization
Organization Name:CARNELIAN SOCIAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE
Authorized Official - Prefix:MISS
Authorized Official - First Name:CHRISTIANAH
Authorized Official - Middle Name:O
Authorized Official - Last Name:OLALEYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-944-2794
Mailing Address - Street 1:8622 N 59TH AVE APT 2081
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85302-5499
Mailing Address - Country:US
Mailing Address - Phone:719-744-2794
Mailing Address - Fax:
Practice Address - Street 1:8622 N 59TH AVE APT 2081
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85302-5499
Practice Address - Country:US
Practice Address - Phone:719-744-2794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-08
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)