Provider Demographics
NPI:1144851346
Name:KAREWEGO LLC
Entity type:Organization
Organization Name:KAREWEGO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:KELIS
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-446-3562
Mailing Address - Street 1:14851 STATE ROAD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34669
Mailing Address - Country:US
Mailing Address - Phone:813-446-3562
Mailing Address - Fax:
Practice Address - Street 1:14851 STATE ROAD
Practice Address - Street 2:SUITE 107
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34669
Practice Address - Country:US
Practice Address - Phone:813-446-3562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health