Provider Demographics
NPI:1174069322
Name:CAREPLUS MEDICAL LLC
Entity type:Organization
Organization Name:CAREPLUS MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-230-2748
Mailing Address - Street 1:5602 OAKHAM PL
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20120-5214
Mailing Address - Country:US
Mailing Address - Phone:571-318-9711
Mailing Address - Fax:844-971-9711
Practice Address - Street 1:5602 OAKHAM PL
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20120-5214
Practice Address - Country:US
Practice Address - Phone:571-318-9711
Practice Address - Fax:844-971-9711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier