MEDICARE: CAREREACH 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	R3014	MD

General Provider Information

NPI Number	:	1790196038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREREACH INC

Provider Business Mailing Address
First Line	:	5310 OLD COURT RD STE 105
Second Line	:
City	:	RANDALLSTOWN
State	:	MD
Zip	:	21133-5281
Country	:	US
Telephone Number	:	443-540-0779
Fax Number	:

Provider Business Practice Location Address
First Line	:	5310 OLD COURT RD STE 105
Second Line	:
City	:	RANDALLSTOWN
State	:	MD
Zip	:	21133-5281
Country	:	US
Telephone Number	:	443-540-0779
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	UCHENNA EKWONYE
Credential	:	RN
Telephone Number	:	443-540-0779

Provider Enumeration Date	:	05/08/2014
Last Update Date	:	05/08/2014

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