Provider Demographics
NPI:1558964916
Name:CAREWISE
Entity Type:Organization
Organization Name:CAREWISE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-368-6918
Mailing Address - Street 1:1675 SCOTT BLVD # A
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-4164
Mailing Address - Country:US
Mailing Address - Phone:408-368-6918
Mailing Address - Fax:408-608-0316
Practice Address - Street 1:1675 SCOTT BLVD # A
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-4164
Practice Address - Country:US
Practice Address - Phone:408-368-6918
Practice Address - Fax:408-608-0316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care