Provider Demographics
NPI:1235366907
Name:CAREWELL HEALTH SERVICES
Entity Type:Organization
Organization Name:CAREWELL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:U
Authorized Official - Last Name:ANINYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-574-6080
Mailing Address - Street 1:213 CREEL CHASE
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144
Mailing Address - Country:US
Mailing Address - Phone:678-574-6080
Mailing Address - Fax:678-574-8514
Practice Address - Street 1:213 CREEL CHASE
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144
Practice Address - Country:US
Practice Address - Phone:678-574-6080
Practice Address - Fax:678-574-8514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-19
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA033-R-0553372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty