Provider Demographics
NPI:1942335740
Name:CAREY SERVICES, INC.
Entity Type:Organization
Organization Name:CAREY SERVICES, INC.
Other - Org Name:CAPABILITIES HEALTHCARE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:ALLBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-668-8961
Mailing Address - Street 1:2724 S. CAREY STREET
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IN
Mailing Address - Zip Code:46953
Mailing Address - Country:US
Mailing Address - Phone:765-668-8961
Mailing Address - Fax:765-664-6747
Practice Address - Street 1:2707 S. WESTERN AVENUE
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IN
Practice Address - Zip Code:46953-3565
Practice Address - Country:US
Practice Address - Phone:765-668-4990
Practice Address - Fax:765-668-4993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QR1300X
IN71002182A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100124400AMedicaid
IN253870Medicare PIN
IN100124400AMedicaid