Provider Demographics
NPI:1053793257
Name:CARREN HOME CARE SERVICES, INC
Entity type:Organization
Organization Name:CARREN HOME CARE SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BISOLA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ADENIRAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:312-388-0098
Mailing Address - Street 1:2833 LINCOLN STREET
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-1957
Mailing Address - Country:US
Mailing Address - Phone:219-923-4073
Mailing Address - Fax:219-923-4107
Practice Address - Street 1:2833 LINCOLN STREET
Practice Address - Street 2:SUITE 2
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-1957
Practice Address - Country:US
Practice Address - Phone:219-923-4073
Practice Address - Fax:219-923-4107
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARREN HEALTHCARE SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN14-013614-1253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care