Healthcare Provider Details

I. General information

NPI: 1508635921
Provider Name (Legal Business Name): CAREBOT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2023
Last Update Date: 12/27/2023
Certification Date: 12/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 OLD ALAMUCHY
HACKETTSTOWN NJ
07840
US

IV. Provider business mailing address

100 INTERNATIONAL DR
BUDD LAKE NJ
07828-1383
US

V. Phone/Fax

Practice location:
  • Phone: 347-451-8282
  • Fax: 917-694-7086
Mailing address:
  • Phone: 833-282-2223
  • Fax: 917-694-7086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: KRASSY BROWN
Title or Position: OWNER
Credential:
Phone: 347-451-8282