Provider Demographics
NPI:1881635910
Name:CARE HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:CARE HEALTH SERVICES, INC.
Other - Org Name:SHORE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INTERIM PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:M
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-822-1000
Mailing Address - Street 1:121 FEDERAL ST
Mailing Address - Street 2:#3
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-2707
Mailing Address - Country:US
Mailing Address - Phone:410-820-6052
Mailing Address - Fax:410-820-7984
Practice Address - Street 1:121 FEDERAL ST
Practice Address - Street 2:#3
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-2707
Practice Address - Country:US
Practice Address - Phone:410-820-6052
Practice Address - Fax:410-820-7984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH1523251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD529904700Medicaid
211523AMedicare ID - Type Unspecified