Provider Demographics
NPI:1346805629
Name:I CARE MOVING LLC
Entity Type:Organization
Organization Name:I CARE MOVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CORTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNLAP
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:860-306-9238
Mailing Address - Street 1:90 BRAINARD RD STE 105
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06114-1687
Mailing Address - Country:US
Mailing Address - Phone:860-306-9238
Mailing Address - Fax:
Practice Address - Street 1:90 BRAINARD RD STE 105
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06114-1687
Practice Address - Country:US
Practice Address - Phone:860-306-9238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-02
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372500000XNursing Service Related ProvidersChore ProviderGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008049241Medicaid