Provider Demographics
NPI:1629336961
Name:CARE PROVIDERS WB, LLC
Entity Type:Organization
Organization Name:CARE PROVIDERS WB, LLC
Other - Org Name:CAREMINDERS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF QUALITY, SAFETY, RISK MGT.
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CPHRM
Authorized Official - Phone:770-360-5554
Mailing Address - Street 1:5829 W MAPLE RD STE 117
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-2294
Mailing Address - Country:US
Mailing Address - Phone:248-851-4357
Mailing Address - Fax:248-851-4360
Practice Address - Street 1:5829 W MAPLE RD STE 117
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-2294
Practice Address - Country:US
Practice Address - Phone:248-851-4357
Practice Address - Fax:248-851-4360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-24
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health