Healthcare Provider Details

I. General information

NPI: 1902177405
Provider Name (Legal Business Name): TOTAL CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2012
Last Update Date: 01/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4345 CLEVELAND AVE
COLUMBUS OH
43224-1577
US

IV. Provider business mailing address

4345 CLEVELAND AVE
COLUMBUS OH
43224-1577
US

V. Phone/Fax

Practice location:
  • Phone: 614-284-1821
  • Fax:
Mailing address:
  • Phone: 614-284-1821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number0053033
License Number StateOH

VIII. Authorized Official

Name: MR. FARAH A BARRE
Title or Position: ADMINISTRATOR
Credential:
Phone: 614-284-1821