Provider Demographics
NPI:1164156006
Name:CARMEL CARE LLC DBA
Entity Type:Organization
Organization Name:CARMEL CARE LLC DBA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:L
Authorized Official - Last Name:DEMAAGD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-402-2854
Mailing Address - Street 1:27200 LOS ARBOLES DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93923-8424
Mailing Address - Country:US
Mailing Address - Phone:831-402-2854
Mailing Address - Fax:831-626-4453
Practice Address - Street 1:27200 LOS ARBOLES DR
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93923-8424
Practice Address - Country:US
Practice Address - Phone:831-402-2854
Practice Address - Fax:831-626-4453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care