Provider Demographics
NPI:1821851791
Name:CAREWAVE GROUP LLC
Entity type:Organization
Organization Name:CAREWAVE GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAGANATH
Authorized Official - Middle Name:
Authorized Official - Last Name:MANIK PRABHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:945-998-7005
Mailing Address - Street 1:3401 CUSTER RD STE 162
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-7586
Mailing Address - Country:US
Mailing Address - Phone:945-998-7005
Mailing Address - Fax:
Practice Address - Street 1:3401 CUSTER RD STE 162
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-7586
Practice Address - Country:US
Practice Address - Phone:945-998-7005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies