Provider Demographics
NPI:1801645395
Name:CAMARA CARE LLC
Entity type:Organization
Organization Name:CAMARA CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BINTOU
Authorized Official - Middle Name:CAMARA
Authorized Official - Last Name:DIALLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-472-3776
Mailing Address - Street 1:8057 E 38TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46226-5969
Mailing Address - Country:US
Mailing Address - Phone:801-472-3776
Mailing Address - Fax:
Practice Address - Street 1:8057 E 38TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46226-5969
Practice Address - Country:US
Practice Address - Phone:801-472-3776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-16
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty