Provider Demographics
NPI:1881421386
Name:CARE INNOVATIONS LLC
Entity type:Organization
Organization Name:CARE INNOVATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BASU
Authorized Official - Middle Name:
Authorized Official - Last Name:NIROULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-854-0891
Mailing Address - Street 1:34 COPELAND ST
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-1604
Mailing Address - Country:US
Mailing Address - Phone:603-854-0891
Mailing Address - Fax:
Practice Address - Street 1:34 COPELAND ST
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-1604
Practice Address - Country:US
Practice Address - Phone:603-854-0891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities