Provider Demographics
NPI:1922531532
Name:CARECO LLC
Entity Type:Organization
Organization Name:CARECO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP, CHIEF MEDICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RAHUL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJKUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-528-5023
Mailing Address - Street 1:1501 S CLINTON ST
Mailing Address - Street 2:CT09-01
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-5730
Mailing Address - Country:US
Mailing Address - Phone:410-528-5023
Mailing Address - Fax:410-505-2745
Practice Address - Street 1:1501 S CLINTON ST
Practice Address - Street 2:CT09-01
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-5730
Practice Address - Country:US
Practice Address - Phone:410-528-5023
Practice Address - Fax:410-505-2745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-10
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty