Provider Demographics
NPI:1144075144
Name:ICARE HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:ICARE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:KESEWAH
Authorized Official - Last Name:NYARKO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:330-741-2570
Mailing Address - Street 1:3432 TIMBER TRL
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-8132
Mailing Address - Country:US
Mailing Address - Phone:513-223-9322
Mailing Address - Fax:
Practice Address - Street 1:3432 TIMBER TRL
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-8132
Practice Address - Country:US
Practice Address - Phone:513-223-9322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-22
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health