Healthcare Provider Details

I. General information

NPI: 1578426581
Provider Name (Legal Business Name): CAREVINE INTEGRATED HEALTHCARE SERVICES INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3481 CORMORANT DR
LAUREL MD
20724-1320
US

IV. Provider business mailing address

3481 CORMORANT DR
LAUREL MD
20724-1320
US

V. Phone/Fax

Practice location:
  • Phone: 443-599-6068
  • Fax:
Mailing address:
  • Phone: 443-599-6068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MS. OLAIDE ONI
Title or Position: CEO
Credential:
Phone: 443-599-6068