MEDICARE: CAREBUDS THERAPEUTICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1679175103
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREBUDS THERAPEUTICS LLC

Provider Business Mailing Address
First Line	:	6547 N ACADEMY BLVD # 2106
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-8342
Country	:	US
Telephone Number	:	847-894-0896
Fax Number	:

Provider Business Practice Location Address
First Line	:	6547 N ACADEMY BLVD # 2106
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-8342
Country	:	US
Telephone Number	:	847-894-0896
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST AND PARTNER
Name	:	MRS. CHAVA HOBERMAN
Credential	:	OTR/L
Telephone Number	:	847-894-0896

Provider Enumeration Date	:	11/10/2020
Last Update Date	:	03/16/2021

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