Provider Demographics
NPI:1639116387
Name:CARENET HOMECARE SERVICES, INC.
Entity Type:Organization
Organization Name:CARENET HOMECARE SERVICES, INC.
Other - Org Name:ACCREDITED WE ARE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:PUTVIN
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:586-427-6640
Mailing Address - Street 1:27733 SCHOENHERR RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-6641
Mailing Address - Country:US
Mailing Address - Phone:586-427-6640
Mailing Address - Fax:586-427-6642
Practice Address - Street 1:27733 SCHOENHERR RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088
Practice Address - Country:US
Practice Address - Phone:586-427-6640
Practice Address - Fax:586-427-6642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237555Medicare ID - Type UnspecifiedHOME HEALTH CARE PROVIDER