Healthcare Provider Details

I. General information

NPI: 1881518462
Provider Name (Legal Business Name): CAREADVANTAGE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

496 TREMAINE AVE
KENMORE NY
14217-2538
US

IV. Provider business mailing address

496 TREMAINE AVE
KENMORE NY
14217-2538
US

V. Phone/Fax

Practice location:
  • Phone: 716-939-5074
  • Fax: 716-226-3318
Mailing address:
  • Phone: 716-939-5074
  • Fax: 716-226-3318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: TASHAUANNEA KATRINA HALL
Title or Position: CEO
Credential:
Phone: 716-939-5074