Provider Demographics
NPI:1649931759
Name:WE CARE MEDICAL CORP
Entity type:Organization
Organization Name:WE CARE MEDICAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:DEL
Authorized Official - Last Name:TYREE
Authorized Official - Suffix:
Authorized Official - Credentials:EMT, PHLEBOTOMIST
Authorized Official - Phone:937-523-0377
Mailing Address - Street 1:101 S FOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45502-1207
Mailing Address - Country:US
Mailing Address - Phone:937-523-0377
Mailing Address - Fax:
Practice Address - Street 1:101 S FOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45502-1207
Practice Address - Country:US
Practice Address - Phone:937-523-0377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CCG CONSULTING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-02
Last Update Date:2022-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No374700000XNursing Service Related ProvidersTechnicianGroup - Multi-Specialty