Healthcare Provider Details
I. General information
NPI: 1407159064
Provider Name (Legal Business Name): CARE FIRST SERVICES,LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/20/2010
Last Update Date: 03/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2206 S HAMILTON RD SUITE 113
COLUMBUS OH
43232-3301
US
IV. Provider business mailing address
PO BOX 29371
COLUMBUS OH
43229-0371
US
V. Phone/Fax
- Phone: 614-678-4087
- Fax:
- Phone: 614-678-4087
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOHN
GODFREY
KILEO
Title or Position: C.E.O/DIRECTOR
Credential:
Phone: 614-678-4087