Individual ProviderCarl HolmesCase Manager/Care CoordinatorOther Service ProvidersPractice Address44421 West 10th St, Lancaster, CA 93534-3335(818) 590-8055PECOS EnrollmentBased on the most recent information from CMS, provider Carl Holmes does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1023732591Provider TypeIndividualFull NameHolmes, CarlGenderMaleSole ProprietorNoEnumeration Date9/28/2022Last Updated9/28/2022Contact InformationPractice LocationPractice Address44421 West 10th St, Lancaster, CA 93534-3335Phone(818) 590-8055FaxUnlisted FaxMailing LocationMailing Address44421 West 10th St, Lancaster, CA 93534-3335Phone(818) 590-8055FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer