Provider Demographics
NPI:1255501326
Name:CARE PLAN VISITING PHYSICIANS LLC
Entity Type:Organization
Organization Name:CARE PLAN VISITING PHYSICIANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:JULIETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIVERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-408-5392
Mailing Address - Street 1:32351 CHALFONTE DRIVE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092-4311
Mailing Address - Country:US
Mailing Address - Phone:313-408-5392
Mailing Address - Fax:800-708-7349
Practice Address - Street 1:32351 CHALFONTE DRIVE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48092-4311
Practice Address - Country:US
Practice Address - Phone:313-408-5392
Practice Address - Fax:800-708-7349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health