Provider Demographics
NPI:1215436431
Name:CAREAGE HOME HEALTH LLC
Entity type:Organization
Organization Name:CAREAGE HOME HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:FEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-853-2913
Mailing Address - Street 1:1584 MCNEIL ST STE 240
Mailing Address - Street 2:
Mailing Address - City:DUPONT
Mailing Address - State:WA
Mailing Address - Zip Code:98327-8793
Mailing Address - Country:US
Mailing Address - Phone:253-240-4601
Mailing Address - Fax:253-507-7099
Practice Address - Street 1:1584 MCNEIL ST STE 240
Practice Address - Street 2:
Practice Address - City:DUPONT
Practice Address - State:WA
Practice Address - Zip Code:98327-8793
Practice Address - Country:US
Practice Address - Phone:253-240-4601
Practice Address - Fax:253-507-7099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-02
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2164851Medicaid
WA602727471OtherUBI