Provider Demographics
NPI:1164011649
Name:CARE NETWORK PLUS LLC
Entity Type:Organization
Organization Name:CARE NETWORK PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WISSAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GORO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-688-6707
Mailing Address - Street 1:13854 LAKESIDE CIR STE 257
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-1443
Mailing Address - Country:US
Mailing Address - Phone:586-480-6339
Mailing Address - Fax:586-685-3132
Practice Address - Street 1:13854 LAKESIDE CIR STE 257
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-1443
Practice Address - Country:US
Practice Address - Phone:586-480-6339
Practice Address - Fax:586-685-3132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care