Healthcare Provider Details

I. General information

NPI: 1770958829
Provider Name (Legal Business Name): MED1CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2015
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 CORPORATE DRIVE SUITE B
HOLLAND OH
43528
US

IV. Provider business mailing address

1225 CORPORATE DRIVE SUITE B
HOLLAND OH
43528
US

V. Phone/Fax

Practice location:
  • Phone: 419-866-0555
  • Fax: 419-866-0556
Mailing address:
  • Phone:
  • Fax:

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 Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: QUINN BARLOW
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 419-866-0555