Provider Demographics
NPI:1043897523
Name:CARESTONE SERVICES LLC
Entity Type:Organization
Organization Name:CARESTONE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SEH
Authorized Official - Middle Name:MORRIS
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:215-934-8047
Mailing Address - Street 1:7655 WOODLAWN DR APT 305
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55112-4065
Mailing Address - Country:US
Mailing Address - Phone:215-934-8047
Mailing Address - Fax:763-432-6527
Practice Address - Street 1:7655 WOODLAWN DR APT 305
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55112-4065
Practice Address - Country:US
Practice Address - Phone:215-934-8047
Practice Address - Fax:763-432-6527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No253Z00000XAgenciesIn Home Supportive Care