Provider Demographics
NPI:1861078313
Name:I CARE HOME HEALTH, LLC
Entity type:Organization
Organization Name:I CARE HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SIMPLICE JOE
Authorized Official - Middle Name:OLAMA
Authorized Official - Last Name:OLAMA
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:614-843-6285
Mailing Address - Street 1:87 ROSEGATE CT
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-4336
Mailing Address - Country:US
Mailing Address - Phone:614-843-6285
Mailing Address - Fax:614-403-9116
Practice Address - Street 1:87 ROSEGATE CT
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-4336
Practice Address - Country:US
Practice Address - Phone:614-843-6285
Practice Address - Fax:614-403-9116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-23
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health