Provider Demographics
NPI:1235590894
Name:THERACARE LLC
Entity Type:Organization
Organization Name:THERACARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KARANASIOS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:603-644-5900
Mailing Address - Street 1:35 KOSCIUSZKO ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1608
Mailing Address - Country:US
Mailing Address - Phone:603-644-5900
Mailing Address - Fax:603-644-5902
Practice Address - Street 1:35 KOSCIUSZKO ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1608
Practice Address - Country:US
Practice Address - Phone:603-644-5900
Practice Address - Fax:603-644-5902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-10
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health