Provider Demographics
NPI:1083402077
Name:THE CAREONE GROUP LLC
Entity type:Organization
Organization Name:THE CAREONE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WATSON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIPAKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-990-9874
Mailing Address - Street 1:10828 OLD MILL RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-2647
Mailing Address - Country:US
Mailing Address - Phone:402-504-3219
Mailing Address - Fax:402-504-3219
Practice Address - Street 1:10828 OLD MILL RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-2647
Practice Address - Country:US
Practice Address - Phone:402-504-3219
Practice Address - Fax:402-504-3219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No251E00000XAgenciesHome Health