Provider Demographics
NPI:1134961915
Name:CARELOGIC HEALTH SERVICES LLC
Entity type:Organization
Organization Name:CARELOGIC HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:O
Authorized Official - Last Name:ODIASE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-922-7037
Mailing Address - Street 1:59 OLDFIELDS RD APT 2
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02121-2721
Mailing Address - Country:US
Mailing Address - Phone:617-922-7037
Mailing Address - Fax:
Practice Address - Street 1:59 OLDFIELDS RD APT 2
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02121-2721
Practice Address - Country:US
Practice Address - Phone:617-922-7037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health