MEDICARE: CARSWELL GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1518501857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARSWELL GROUP INC

Provider Business Mailing Address
First Line	:	6165 LEHMAN DR STE 102
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-5405
Country	:	US
Telephone Number	:	719-428-3268
Fax Number	:	888-250-8404

Provider Business Practice Location Address
First Line	:	6165 LEHMAN DR STE 102
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-5405
Country	:	US
Telephone Number	:	719-428-3268
Fax Number	:	888-250-8404

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LISA BENSON
Credential	:
Telephone Number	:	719-428-3268

Provider Enumeration Date	:	10/30/2019
Last Update Date	:	10/30/2019

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