Provider Demographics
NPI:1497815583
Name:CARECO SHORELINE LLC
Entity Type:Organization
Organization Name:CARECO SHORELINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HELGA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAMPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-739-8412
Mailing Address - Street 1:2 FERRO CT
Mailing Address - Street 2:
Mailing Address - City:EAST LYME
Mailing Address - State:CT
Mailing Address - Zip Code:06333-1511
Mailing Address - Country:US
Mailing Address - Phone:860-739-8412
Mailing Address - Fax:860-739-9365
Practice Address - Street 1:2 FERRO CT
Practice Address - Street 2:
Practice Address - City:EAST LYME
Practice Address - State:CT
Practice Address - Zip Code:06333-1511
Practice Address - Country:US
Practice Address - Phone:860-739-8412
Practice Address - Fax:860-739-9365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA0000119251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health