Provider Demographics
NPI:1962098681
Name:CARE CREW LLC
Entity type:Organization
Organization Name:CARE CREW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-600-6453
Mailing Address - Street 1:4451 DALE EARNHARDT WAY UNIT D6
Mailing Address - Street 2:
Mailing Address - City:NORTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76262-2807
Mailing Address - Country:US
Mailing Address - Phone:817-242-4717
Mailing Address - Fax:
Practice Address - Street 1:4451 DALE EARNHARDT WAY UNIT D6
Practice Address - Street 2:
Practice Address - City:NORTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76262-2807
Practice Address - Country:US
Practice Address - Phone:817-242-4717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-16
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health