MEDICARE: CARESTRIDES 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	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1861012288
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARESTRIDES LLC

Provider Business Mailing Address
First Line	:	6275 W PLANO PKWY STE 500
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-4907
Country	:	US
Telephone Number	:	844-914-2273
Fax Number	:	844-914-2273

Provider Business Practice Location Address
First Line	:	6275 W PLANO PKWY STE 500
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-4907
Country	:	US
Telephone Number	:	844-914-2273
Fax Number	:	844-914-2273

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. THOMAS CHACKO KUNJACHAN
Credential	:	MBA
Telephone Number	:	972-983-4698

Provider Enumeration Date	:	04/26/2020
Last Update Date	:	08/30/2024

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Directions to “CARESTRIDES LLC ” Practice Location

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