Healthcare Provider Details

I. General information

NPI: 1609590256
Provider Name (Legal Business Name): BESTCARE PROVIDERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2022
Last Update Date: 01/09/2023
Certification Date: 01/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6722 MORROW COZADDALE RD
MORROW OH
45152-8943
US

IV. Provider business mailing address

6722 MORROW COZADDALE RD
MORROW OH
45152-8943
US

V. Phone/Fax

Practice location:
  • Phone: 513-240-2625
  • Fax: 858-216-1969
Mailing address:
  • Phone: 513-240-2625
  • Fax: 858-216-1969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: KARLA WALDEN-MCCARTER
Title or Position: OWNER/NURSE PRACTITIONER
Credential: FNP-BC, APRN, MSN
Phone: 513-240-2625