Provider Demographics
NPI:1588392054
Name:CARPAE GROUP LLC
Entity type:Organization
Organization Name:CARPAE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAETON
Authorized Official - Middle Name:
Authorized Official - Last Name:BANGART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-630-9173
Mailing Address - Street 1:131 S APPLE BLOSSOM DR
Mailing Address - Street 2:UNIT 121
Mailing Address - City:CHELAN
Mailing Address - State:WA
Mailing Address - Zip Code:98816-8827
Mailing Address - Country:US
Mailing Address - Phone:509-888-4781
Mailing Address - Fax:
Practice Address - Street 1:131 S APPLE BLOSSOM DR
Practice Address - Street 2:UNIT 121
Practice Address - City:CHELAN
Practice Address - State:WA
Practice Address - Zip Code:98816-8827
Practice Address - Country:US
Practice Address - Phone:509-888-4781
Practice Address - Fax:509-888-4812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care