=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649010448
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARE PLUS ACQUISITIONS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/29/2024
-----------------------------------------------------
Last Update Date | 05/29/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 25 IDA RED AVE STE A
-----------------------------------------------------
City | SPARTA
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49345-1353
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 616-884-5401
-----------------------------------------------------
Fax | 616-383-1115
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 25 IDA RED AVE STE A
-----------------------------------------------------
City | SPARTA
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49345-1353
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 616-884-5401
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF OPERATIONS
-----------------------------------------------------
Name | LINDSEY GAUGHAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 360-477-7885
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------