Provider Demographics
NPI:1265148134
Name:CAREBOUND HEALTHCARE AGENCY
Entity type:Organization
Organization Name:CAREBOUND HEALTHCARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:ARABA
Authorized Official - Last Name:DADSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-406-8844
Mailing Address - Street 1:3081 NAMIB DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80939-9720
Mailing Address - Country:US
Mailing Address - Phone:267-406-8844
Mailing Address - Fax:
Practice Address - Street 1:3081 NAMIB DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80939-9720
Practice Address - Country:US
Practice Address - Phone:267-406-8844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-25
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care