Basic Information
| Provider Information | |||||||||
| NPI: | 1306172010 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | CARE PLUS | ||||||||
| LastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 215 W FRANKLIN ST | ||||||||
| Address2: | SUITE 208 | ||||||||
| City: | MONTEREY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939402736 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8316569203 | ||||||||
| FaxNumber: | 8316569204 | ||||||||
| Practice Location | |||||||||
| Address1: | 215 W FRANKLIN ST | ||||||||
| Address2: | SUITE 208 | ||||||||
| City: | MONTEREY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939402736 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8316569203 | ||||||||
| FaxNumber: | 8316569204 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/30/2009 | ||||||||
| LastUpdateDate: | 10/30/2009 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | CANIPE | ||||||||
| AuthorizedOfficialFirstName: | CHONG | ||||||||
| AuthorizedOfficialMiddleName: | SUK | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 8316569203 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | BSN | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | N | Agencies | Home Health | 253Z00000X | Y | Agencies | In Home Supportive Care |
No ID Information.