Provider Demographics
NPI:1639938533
Name:CAREONE SERVICES LLC
Entity Type:Organization
Organization Name:CAREONE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:AMAL
Authorized Official - Middle Name:M
Authorized Official - Last Name:SIYAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-703-1675
Mailing Address - Street 1:3909 HERITAGE HILLS DR APT 207
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437-2628
Mailing Address - Country:US
Mailing Address - Phone:612-703-1675
Mailing Address - Fax:
Practice Address - Street 1:3909 HERITAGE HILLS DR APT 207
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55437-2628
Practice Address - Country:US
Practice Address - Phone:612-703-1675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health