Provider Demographics
NPI:1629473152
Name:CARE COORDINATION SERVICES, LLC
Entity Type:Organization
Organization Name:CARE COORDINATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-278-2236
Mailing Address - Street 1:1341 N DELAWARE AVE
Mailing Address - Street 2:SUITE 504
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19125-4300
Mailing Address - Country:US
Mailing Address - Phone:215-278-2236
Mailing Address - Fax:267-928-2179
Practice Address - Street 1:1341 N DELAWARE AVE
Practice Address - Street 2:SUITE 504
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19125-4300
Practice Address - Country:US
Practice Address - Phone:215-278-2236
Practice Address - Fax:267-928-2179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization