Provider Demographics
NPI:1225697691
Name:CARE BRIGADE LLC
Entity Type:Organization
Organization Name:CARE BRIGADE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SAJAN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:VARGHESE
Authorized Official - Suffix:
Authorized Official - Credentials:MD;MS
Authorized Official - Phone:631-983-7421
Mailing Address - Street 1:PO BOX 350
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11802-0350
Mailing Address - Country:US
Mailing Address - Phone:631-983-7421
Mailing Address - Fax:
Practice Address - Street 1:207 AUGUST RD
Practice Address - Street 2:
Practice Address - City:NORTH BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11703-1940
Practice Address - Country:US
Practice Address - Phone:631-983-7421
Practice Address - Fax:516-977-2191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-10
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management