Provider Demographics
NPI:1104661586
Name:CAREPLUS HOME CARE LLC
Entity type:Organization
Organization Name:CAREPLUS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:GRIFFITHS
Authorized Official - Middle Name:
Authorized Official - Last Name:NDEMERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-994-4558
Mailing Address - Street 1:9345 OPAL DR
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-2049
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9345 OPAL DR
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-2049
Practice Address - Country:US
Practice Address - Phone:904-994-4558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health