Provider Demographics
NPI:1417097593
Name:CARECENTRIX, INC.
Entity type:Organization
Organization Name:CARECENTRIX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR AUDIT AND ACCREDITATION
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-255-3755
Mailing Address - Street 1:9119 CORPORATE LAKE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-2380
Mailing Address - Country:US
Mailing Address - Phone:833-592-1093
Mailing Address - Fax:
Practice Address - Street 1:9119 CORPORATE LAKE DR STE 200
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-2380
Practice Address - Country:US
Practice Address - Phone:833-592-1093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherTIN