Provider Demographics
NPI:1194468751
Name:CARE CONNECT PLUS
Entity Type:Organization
Organization Name:CARE CONNECT PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:STACEE
Authorized Official - Middle Name:REGINIA
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-304-5013
Mailing Address - Street 1:PO BOX 40874
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48240-0874
Mailing Address - Country:US
Mailing Address - Phone:313-304-5013
Mailing Address - Fax:
Practice Address - Street 1:20917 DEERFIELD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48335-4821
Practice Address - Country:US
Practice Address - Phone:313-622-5594
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-20
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health