Provider Demographics
NPI:1487157863
Name:C.A.R.E.S ENTERPRISES LLC
Entity type:Organization
Organization Name:C.A.R.E.S ENTERPRISES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATANIA
Authorized Official - Middle Name:SAMMAY
Authorized Official - Last Name:PARKES- HARGRAVE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:219-251-2912
Mailing Address - Street 1:1967 TONIA ST
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:IN
Mailing Address - Zip Code:46368-1733
Mailing Address - Country:US
Mailing Address - Phone:219-254-2912
Mailing Address - Fax:
Practice Address - Street 1:1967 TONIA ST
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:IN
Practice Address - Zip Code:46368-1733
Practice Address - Country:US
Practice Address - Phone:219-254-2912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-13
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)