Healthcare Provider Details

I. General information

NPI: 1396229795
Provider Name (Legal Business Name): CARE HEALTH SERVICES, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2018
Last Update Date: 09/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1864 E 89TH ST
CLEVELAND OH
44106-2006
US

IV. Provider business mailing address

PO BOX 603912
CLEVELAND OH
44103-0912
US

V. Phone/Fax

Practice location:
  • Phone: 216-561-2273
  • Fax: 216-561-2273
Mailing address:
  • Phone: 216-561-2273
  • Fax: 216-561-2273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JUAHMEA C RIVERS
Title or Position: PRESIDENT
Credential:
Phone: 216-561-2273