Healthcare Provider Details

I. General information

NPI: 1083404958
Provider Name (Legal Business Name): AGENCY FOR YOUR SERVICES AND CARES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

189 BEXHILL DR
BLACKLICK OH
43004-9062
US

IV. Provider business mailing address

189 BEXHILL DR
BLACKLICK OH
43004-9062
US

V. Phone/Fax

Practice location:
  • Phone: 614-209-0675
  • Fax:
Mailing address:
  • Phone: 614-209-0675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. ABRAHAM SORY CAMARA
Title or Position: DIRECTOR OF OPERATION
Credential:
Phone: 614-209-0675