Provider Demographics
NPI:1124075189
Name:CARECO GROUP INC.
Entity type:Organization
Organization Name:CARECO GROUP INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:MCMAHON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-899-3535
Mailing Address - Street 1:990 IH-10 NORTH
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702
Mailing Address - Country:US
Mailing Address - Phone:409-899-3535
Mailing Address - Fax:409-899-3537
Practice Address - Street 1:990 IH 10 N
Practice Address - Street 2:SUITE 203
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1051
Practice Address - Country:US
Practice Address - Phone:409-899-3535
Practice Address - Fax:409-899-3537
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:679613
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-27
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679613Medicare Oscar/Certification