Provider Demographics
NPI:1982093258
Name:CAREMED HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:CAREMED HEALTH SERVICES LLC
Other - Org Name:HUMANA CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROHNY
Authorized Official - Middle Name:WM
Authorized Official - Last Name:MASSIH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-899-1077
Mailing Address - Street 1:485 NEW PARK AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06110-1333
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:485 NEW PARK AVE
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06110-1333
Practice Address - Country:US
Practice Address - Phone:860-899-1077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-09
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT9915737251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health