Provider Demographics
NPI:1003361452
Name:CARE4U HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:CARE4U HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KOFI BAISE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAISE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-377-4231
Mailing Address - Street 1:5256 TAMARACK CIR E APT C
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-4553
Mailing Address - Country:US
Mailing Address - Phone:614-377-4231
Mailing Address - Fax:
Practice Address - Street 1:5256 TAMARACK CIR E APT C
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-4553
Practice Address - Country:US
Practice Address - Phone:614-377-4231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-15
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health