Provider Demographics
NPI:1902436264
Name:DEDICARE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:DEDICARE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CARLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-354-8085
Mailing Address - Street 1:3115 W THOMPSON RD
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430-9659
Mailing Address - Country:US
Mailing Address - Phone:810-354-8085
Mailing Address - Fax:
Practice Address - Street 1:3115 W THOMPSON RD
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-9659
Practice Address - Country:US
Practice Address - Phone:810-354-8085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-24
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health