Provider Demographics
NPI:1205256831
Name:CAREPRO LLC
Entity type:Organization
Organization Name:CAREPRO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROLLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-843-2270
Mailing Address - Street 1:PO BOX 290362
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32129-0362
Mailing Address - Country:US
Mailing Address - Phone:386-233-9522
Mailing Address - Fax:866-236-8577
Practice Address - Street 1:4364 S ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:PONCE INLET
Practice Address - State:FL
Practice Address - Zip Code:32127-6939
Practice Address - Country:US
Practice Address - Phone:386-233-9522
Practice Address - Fax:866-236-8577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL230417251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health