Provider Demographics
NPI:1407476252
Name:CAREMARK HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:CAREMARK HOME HEALTH CARE LLC
Other - Org Name:CAREMARK HOME HEALTH CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:IDRIS
Authorized Official - Middle Name:O
Authorized Official - Last Name:ABDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-399-9987
Mailing Address - Street 1:720 E LAKE ST # 100
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1547
Mailing Address - Country:US
Mailing Address - Phone:612-501-1346
Mailing Address - Fax:952-487-4284
Practice Address - Street 1:720 E LAKE ST # 100
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1547
Practice Address - Country:US
Practice Address - Phone:612-399-9987
Practice Address - Fax:952-487-4284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-22
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health