Provider Demographics
NPI:1932562394
Name:CAREMAXX HOME HEALTH AGENCY LLC
Entity Type:Organization
Organization Name:CAREMAXX HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:SURINA
Authorized Official - Middle Name:R
Authorized Official - Last Name:PITTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-536-9606
Mailing Address - Street 1:26600 GEORGE ZEIGER DR APT 511
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-7542
Mailing Address - Country:US
Mailing Address - Phone:216-536-9606
Mailing Address - Fax:
Practice Address - Street 1:26600 GEORGE ZEIGER DR APT 511
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-7542
Practice Address - Country:US
Practice Address - Phone:216-536-9606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-03
Last Update Date:2016-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health