Provider Demographics
NPI:1922681014
Name:CAREMAX HEALTH LLC
Entity Type:Organization
Organization Name:CAREMAX HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:ADANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:IZEKO
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN
Authorized Official - Phone:617-800-5655
Mailing Address - Street 1:285 RUSHFOIL DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08094-3903
Mailing Address - Country:US
Mailing Address - Phone:617-800-5655
Mailing Address - Fax:
Practice Address - Street 1:2520 N BROAD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19132-4013
Practice Address - Country:US
Practice Address - Phone:617-800-5655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health