Carob Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CAROB HOME CARE LLC

Practice address

806 Green Valley Rd Ste 200
Greensboro, NC 27408-7076

Phone

(888) 454-0361

Fax

(336) 510-8554

NPI assigned

Mar 6, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jashanna Blacclove

Title

Ceo

Phone

(336) 510-9816

Specialties & licenses 4

Addresses

Other names 1

• Carob Home Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1710744636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 GREEN VALLEY RD STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087076",
            "telephone_number": "888-454-0361",
            "fax_number": "336-510-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 GREEN VALLEY RD STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087076",
            "telephone_number": "888-454-0361",
            "fax_number": "336-510-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROB HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "BLACCLOVE",
        "authorized_official_first_name": "JASHANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-510-9816"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carob Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carob Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Katherine Carmon, PHYSICIAN ASSISTANT
• Luis Jose Carmona
• Melissa Catherine Carmona, LCMHCS
• Michael Carnaghi, PAC
• Michelle Moelhman Carnaghi, R.D., C.D.E.
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• Carolina Advanced Medicine, PLLC
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• Carolina Attention Specialists-Greensboro, PLLC
• Carolina Behavioral Care, PA

• Home Health Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.