Provider Demographics
NPI:1902177405
Name:TOTAL CARE SERVICES INC
Entity Type:Organization
Organization Name:TOTAL CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FARAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-284-1821
Mailing Address - Street 1:4345 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-1577
Mailing Address - Country:US
Mailing Address - Phone:614-284-1821
Mailing Address - Fax:
Practice Address - Street 1:4345 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-1577
Practice Address - Country:US
Practice Address - Phone:614-284-1821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-16
Last Update Date:2012-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0053033251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0053033Medicaid