Provider Demographics
NPI:1124727565
Name:CAREPROVIDE LLC
Entity type:Organization
Organization Name:CAREPROVIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:CUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-989-7559
Mailing Address - Street 1:53 OLD SOLOMONS ISLAND RD STE J
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3872
Mailing Address - Country:US
Mailing Address - Phone:410-989-7559
Mailing Address - Fax:410-709-3993
Practice Address - Street 1:53 OLD SOLOMONS ISLAND RD STE J
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3872
Practice Address - Country:US
Practice Address - Phone:410-989-7559
Practice Address - Fax:410-709-3993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-24
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care