Provider Demographics
NPI:1669345583
Name:OWL CARE LLC
Entity type:Organization
Organization Name:OWL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAXIMUS BARUCH
Authorized Official - Middle Name:JEAN-MARY
Authorized Official - Last Name:BOUILLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-300-7067
Mailing Address - Street 1:233 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-3840
Mailing Address - Country:US
Mailing Address - Phone:860-300-7067
Mailing Address - Fax:
Practice Address - Street 1:233 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-3840
Practice Address - Country:US
Practice Address - Phone:860-300-7067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health