Provider Demographics
NPI:1821767443
Name:CARE CONNECTIONS AT HOME OF MANATEE LLC
Entity Type:Organization
Organization Name:CARE CONNECTIONS AT HOME OF MANATEE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:MAHONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-755-9927
Mailing Address - Street 1:14516 STIRLING DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-5703
Mailing Address - Country:US
Mailing Address - Phone:585-755-9927
Mailing Address - Fax:941-786-0722
Practice Address - Street 1:8470 ENTERPRISE CIR STE 110G
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-4105
Practice Address - Country:US
Practice Address - Phone:941-404-5760
Practice Address - Fax:941-786-0722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health