Provider Demographics
NPI:1215798095
Name:CARE24GROUP LLC
Entity type:Organization
Organization Name:CARE24GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT, CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:TADIWA
Authorized Official - Middle Name:TITUS
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-492-1603
Mailing Address - Street 1:205 BROADWAY ST STE 210
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-6761
Mailing Address - Country:US
Mailing Address - Phone:301-304-9147
Mailing Address - Fax:
Practice Address - Street 1:205 BROADWAY ST STE 210
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-6761
Practice Address - Country:US
Practice Address - Phone:301-304-9147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care