Provider Demographics
NPI:1194546465
Name:CARECASS HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:CARECASS HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CASSAGNOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-568-6246
Mailing Address - Street 1:2215 NEWKIRK AVE APT E2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-7520
Mailing Address - Country:US
Mailing Address - Phone:929-568-6246
Mailing Address - Fax:
Practice Address - Street 1:2215 NEWKIRK AVE APT E2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-7520
Practice Address - Country:US
Practice Address - Phone:929-568-6246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-21
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty