Provider Demographics
NPI:1205613866
Name:CAREAGE AT HOME, LLC
Entity type:Organization
Organization Name:CAREAGE AT HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:H
Authorized Official - Last Name:BUCK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:253-225-1323
Mailing Address - Street 1:PO BOX 1969
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-3969
Mailing Address - Country:US
Mailing Address - Phone:253-853-2928
Mailing Address - Fax:
Practice Address - Street 1:14450 NE 29TH PL STE 106
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-3697
Practice Address - Country:US
Practice Address - Phone:425-519-1265
Practice Address - Fax:425-861-7879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care