Provider Demographics
NPI:1134684004
Name:CARE AND RESPITE ENTERPRISES, INC.
Entity Type:Organization
Organization Name:CARE AND RESPITE ENTERPRISES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:KILEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:203-923-8866
Mailing Address - Street 1:141 KINGS HWY E
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-4844
Mailing Address - Country:US
Mailing Address - Phone:203-923-8866
Mailing Address - Fax:203-726-7266
Practice Address - Street 1:141 KINGS HWY E
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825-4844
Practice Address - Country:US
Practice Address - Phone:203-923-8866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-05
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care