Carroll A. Hines
Debarred entityBorn 22 Nov 1976 (49 years old),United States. Named in 5 sanctions listings.
Summary
License number: 9908466
Sanctions and listings5
- Effective
- 18 Jun 2025
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
- Effective
- 20 Apr 2026
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128a1
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Effective
- 20 Apr 2026
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
- Effective
- 18 Jun 2025
- Ended
- 18 Jun 2030
Official designation
Pennsylvania Department of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States
- Effective
- 20 Apr 2026
Official designation
Pennsylvania Department of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States
Positions held2
Period not retained
CNA
Period not retained
PERSONAL CARE PROVID (INDIVIDUAL (UNAFFILI)
Identifiers2
| Identifier | Number |
|---|---|
| ID number | 9908466 |
| Registration number | 9908466 |
Other names2
Also known as2
Addresses2
Philadelphia, PA
885 N 47TH ST, PHILADELPHIA, PA 19139
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