Provider Demographics
NPI:1720833452
Name:CAREPLUS HEALTHCARE INC
Entity type:Organization
Organization Name:CAREPLUS HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIGILLANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-854-7500
Mailing Address - Street 1:560 W PUTNAM AVE
Mailing Address - Street 2:STE 2
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257
Mailing Address - Country:US
Mailing Address - Phone:559-854-7500
Mailing Address - Fax:
Practice Address - Street 1:560 W PUTNAM AVE
Practice Address - Street 2:STE 2
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-3269
Practice Address - Country:US
Practice Address - Phone:559-854-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy