Provider Demographics
NPI:1497116024
Name:CAREPLUS THERAPY, LLC
Entity Type:Organization
Organization Name:CAREPLUS THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGRM
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:DAMELIO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:914-563-9343
Mailing Address - Street 1:10890 HANDEL PL
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-6762
Mailing Address - Country:US
Mailing Address - Phone:914-563-9343
Mailing Address - Fax:
Practice Address - Street 1:796 BELLE GROVE LN
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-4547
Practice Address - Country:US
Practice Address - Phone:914-563-9343
Practice Address - Fax:561-342-4849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-09
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ7466235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSA15310OtherSPEECH-LANGUAGE PATHOLOGIST