Healthcare Provider Details

I. General information

NPI: 1609796655
Provider Name (Legal Business Name): CARE LYNC SOUTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 E MONTGOMERY AVE FL 4
ARDMORE PA
19003-2421
US

IV. Provider business mailing address

40 E MONTGOMERY AVE FL 4
ARDMORE PA
19003-2421
US

V. Phone/Fax

Practice location:
  • Phone: 833-333-5962
  • Fax:
Mailing address:
  • Phone: 833-333-5962
  • Fax:

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: GREGG GOLIN
Title or Position: CEO
Credential:
Phone: 856-904-5000