Provider Demographics
NPI:1942018056
Name:CAREWELL SERVICES LLC
Entity type:Organization
Organization Name:CAREWELL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADESHOLA
Authorized Official - Middle Name:V
Authorized Official - Last Name:OBAFEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-330-8805
Mailing Address - Street 1:816 DELSEA DR N STE 153
Mailing Address - Street 2:
Mailing Address - City:GLASSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08028-1438
Mailing Address - Country:US
Mailing Address - Phone:646-330-8805
Mailing Address - Fax:
Practice Address - Street 1:15 BROADACRES DRIVE SUITE 132
Practice Address - Street 2:
Practice Address - City:CLEMENTON
Practice Address - State:NJ
Practice Address - Zip Code:08021
Practice Address - Country:US
Practice Address - Phone:646-330-8805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty