Provider Demographics
NPI:1508637398
Name:COMMITTED CARE
Entity Type:Organization
Organization Name:COMMITTED CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:TREASURE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-885-5471
Mailing Address - Street 1:493 MOUNT FAIR DR
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06795-1659
Mailing Address - Country:US
Mailing Address - Phone:914-885-5471
Mailing Address - Fax:
Practice Address - Street 1:493 MOUNT FAIR DR
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:CT
Practice Address - Zip Code:06795-1659
Practice Address - Country:US
Practice Address - Phone:914-885-5471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care