Provider Demographics
NPI:1215168273
Name:CARECONNECT LLC
Entity type:Organization
Organization Name:CARECONNECT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MBURU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-215-7162
Mailing Address - Street 1:5710 IVAN DR
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-3382
Mailing Address - Country:US
Mailing Address - Phone:517-215-7162
Mailing Address - Fax:
Practice Address - Street 1:5710 IVAN DR STE 101
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-3382
Practice Address - Country:US
Practice Address - Phone:517-215-7162
Practice Address - Fax:517-215-7161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health