Provider Demographics
NPI:1851006456
Name:CARE EXPEDITION HOME CARE LLC
Entity Type:Organization
Organization Name:CARE EXPEDITION HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BISHNU
Authorized Official - Middle Name:
Authorized Official - Last Name:DANGAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-294-8401
Mailing Address - Street 1:7044 CREEK CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-5081
Mailing Address - Country:US
Mailing Address - Phone:949-294-8401
Mailing Address - Fax:
Practice Address - Street 1:7044 CREEK CROSSING DR
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111-5081
Practice Address - Country:US
Practice Address - Phone:949-294-8401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health