Provider Demographics
NPI:1487438776
Name:CARTERS PASSIONATE CARE L.L.C.
Entity type:Organization
Organization Name:CARTERS PASSIONATE CARE L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATIENT CARE TECH/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RIKKIA
Authorized Official - Middle Name:RACHEA
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-739-1270
Mailing Address - Street 1:PO BOX 725445
Mailing Address - Street 2:
Mailing Address - City:BERKLEY
Mailing Address - State:MI
Mailing Address - Zip Code:48072-5445
Mailing Address - Country:US
Mailing Address - Phone:248-739-1270
Mailing Address - Fax:
Practice Address - Street 1:16189 OXLEY RD APT 104
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-3553
Practice Address - Country:US
Practice Address - Phone:248-739-1270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health