Provider Demographics
NPI:1477730596
Name:CRITICARE, INC
Entity Type:Organization
Organization Name:CRITICARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLOSOV
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-653-0944
Mailing Address - Street 1:25 HOOKS LN
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1617
Mailing Address - Country:US
Mailing Address - Phone:410-653-0944
Mailing Address - Fax:410-415-5188
Practice Address - Street 1:1821 OREGON PIKE
Practice Address - Street 2:SUITE 214
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6466
Practice Address - Country:US
Practice Address - Phone:717-560-6588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001577296002Medicaid