Provider Demographics
NPI:1174092720
Name:CAREHERE LLC
Entity type:Organization
Organization Name:CAREHERE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE CODER / BILLER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:MAGDALENA
Authorized Official - Last Name:LANGSDON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:615-635-0439
Mailing Address - Street 1:5141 VIRGINIA WAY STE 350
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-2319
Mailing Address - Country:US
Mailing Address - Phone:615-336-9553
Mailing Address - Fax:
Practice Address - Street 1:83333 EXPRESS DRIVE
Practice Address - Street 2:SUITE # D
Practice Address - City:MARION
Practice Address - State:IL
Practice Address - Zip Code:62959-8226
Practice Address - Country:US
Practice Address - Phone:618-969-8683
Practice Address - Fax:618-969-8689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-13
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty