Provider Demographics
NPI:1043947344
Name:CARECONNECT INC.
Entity type:Organization
Organization Name:CARECONNECT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ABIODUN
Authorized Official - Middle Name:
Authorized Official - Last Name:ONABIYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-254-3002
Mailing Address - Street 1:5718 HARFORD RD STE 202
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21214-2243
Mailing Address - Country:US
Mailing Address - Phone:410-254-3002
Mailing Address - Fax:410-254-3005
Practice Address - Street 1:5718 HARFORD RD STE 202
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21214-2243
Practice Address - Country:US
Practice Address - Phone:410-254-3002
Practice Address - Fax:410-254-3005
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARECONNECT INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)