Provider Demographics
NPI:1023386380
Name:CAREMAX INC.
Entity Type:Organization
Organization Name:CAREMAX INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KHAWAJA
Authorized Official - Middle Name:HUSSAIN
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-474-7364
Mailing Address - Street 1:13100 BRIGHT PRAIRIE CIR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73142-6078
Mailing Address - Country:US
Mailing Address - Phone:405-474-7364
Mailing Address - Fax:405-470-8367
Practice Address - Street 1:13100 BRIGHT PRAIRIE CIR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73142-6078
Practice Address - Country:US
Practice Address - Phone:405-474-7364
Practice Address - Fax:405-470-8367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
347C00000X347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle