Provider Demographics
NPI:1801154737
Name:CARENEST, INC
Entity type:Organization
Organization Name:CARENEST, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GODWILL
Authorized Official - Middle Name:CHE
Authorized Official - Last Name:ACHU
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:443-421-1176
Mailing Address - Street 1:9244 E HAMPTON DR STE 114
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-3848
Mailing Address - Country:US
Mailing Address - Phone:443-421-1176
Mailing Address - Fax:888-402-0977
Practice Address - Street 1:9336 CHERRY HILL RD APT 202
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-1261
Practice Address - Country:US
Practice Address - Phone:443-421-1176
Practice Address - Fax:888-408-0977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-29
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3254332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies