MEDICARE: CARENET SERVICES INC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1962714402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARENET SERVICES INC

Provider Business Mailing Address
First Line	:	100 DOYLE ST
Second Line	:	SUITE F
City	:	SANTA CRUZ
State	:	CA
Zip	:	95062-2129
Country	:	US
Telephone Number	:	831-427-1553
Fax Number	:	831-427-3098

Provider Business Practice Location Address
First Line	:	100 DOYLE ST
Second Line	:	SUITE F
City	:	SANTA CRUZ
State	:	CA
Zip	:	95062-2129
Country	:	US
Telephone Number	:	831-427-1553
Fax Number	:	831-427-3098

Authorized Official
Title or Position	:	PRESDIENT/CEO
Name	:	MR. ANTHONY V WALKER
Credential	:
Telephone Number	:	831-427-1553

Provider Enumeration Date	:	07/13/2010
Last Update Date	:	07/13/2010

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