Healthcare Provider Details

I. General information

NPI: 1205950797
Provider Name (Legal Business Name): COMMUNICARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 03/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 SHERRILL RD
SHERRILL NY
13461-1461
US

IV. Provider business mailing address

601 SHERRILL RD
SHERRILL NY
13461-1461
US

V. Phone/Fax

Practice location:
  • Phone: 315-363-8288
  • Fax: 315-363-8814
Mailing address:
  • Phone: 315-363-8288
  • Fax: 315-363-8814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number011180-1
License Number StateNY

VIII. Authorized Official

Name: MRS. HEIDI K FOX
Title or Position: SOLE MEMBER LLC
Credential: M.S., CCC-SLP
Phone: 315-363-8288