Provider Demographics
NPI:1407401243
Name:CARE CONNECTIONS AT HOME LLC
Entity Type:Organization
Organization Name:CARE CONNECTIONS AT HOME LLC
Other - Org Name:CARE CONNECTIONS AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-755-9927
Mailing Address - Street 1:2201 CANTU COURT SUITE 110
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-6254
Mailing Address - Country:US
Mailing Address - Phone:941-404-5760
Mailing Address - Fax:941-786-0722
Practice Address - Street 1:2201 CANTU CT SUITE 110
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-6254
Practice Address - Country:US
Practice Address - Phone:941-404-5760
Practice Address - Fax:941-786-0722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care