Healthcare Provider Details

I. General information

NPI: 1598102568
Provider Name (Legal Business Name): CAREPLUS HOME HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2013
Last Update Date: 07/12/2024
Certification Date: 07/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 E MAIN ST STE 100
SPRINGFIELD OH
45503-4463
US

IV. Provider business mailing address

1240 E MAIN ST STE 100
SPRINGFIELD OH
45503-4463
US

V. Phone/Fax

Practice location:
  • Phone: 937-327-3907
  • Fax: 937-314-6143
Mailing address:
  • Phone: 937-327-3907
  • Fax: 937-314-6143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH
# 5
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. DORENE RENEE TENORIO
Title or Position: ADMINISTRATOR
Credential: ADMINISTRATOR (LPN)
Phone: 937-327-3907