Provider Demographics
NPI:1871104992
Name:CAREAID HOME HEALTH AGENCY
Entity type:Organization
Organization Name:CAREAID HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KUDZANAYI
Authorized Official - Middle Name:H
Authorized Official - Last Name:MUSHAURWI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-717-1200
Mailing Address - Street 1:1675 W CAMPBELL RD APT 3311
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-2336
Mailing Address - Country:US
Mailing Address - Phone:386-717-1200
Mailing Address - Fax:
Practice Address - Street 1:1675 W CAMPBELL RD APT 3311
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-2336
Practice Address - Country:US
Practice Address - Phone:386-717-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care