Provider Demographics
NPI:1306317268
Name:CARE BEARS SERVICES LLC
Entity type:Organization
Organization Name:CARE BEARS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIE CHANTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:RICLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-548-9124
Mailing Address - Street 1:5901 LINCOLN CIR W
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-6744
Mailing Address - Country:US
Mailing Address - Phone:954-548-9124
Mailing Address - Fax:
Practice Address - Street 1:1280 LANTANA RD
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:FL
Practice Address - Zip Code:33462-1543
Practice Address - Country:US
Practice Address - Phone:954-548-9124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251E00000XAgenciesHome Health