Provider Demographics
NPI:1972811032
Name:CARE SOURCE LLC
Entity Type:Organization
Organization Name:CARE SOURCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:R
Authorized Official - Last Name:BATDORF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-552-1518
Mailing Address - Street 1:PO BOX 1755
Mailing Address - Street 2:
Mailing Address - City:BELLMAWR
Mailing Address - State:NJ
Mailing Address - Zip Code:08099-1755
Mailing Address - Country:US
Mailing Address - Phone:856-552-1518
Mailing Address - Fax:267-295-7943
Practice Address - Street 1:200 FEDERAL ST
Practice Address - Street 2:SUITE 208
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1061
Practice Address - Country:US
Practice Address - Phone:856-552-1518
Practice Address - Fax:267-295-7943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0103900253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care