Provider Demographics
NPI:1013014638
Name:CARE SERVICES, INC
Entity Type:Organization
Organization Name:CARE SERVICES, INC
Other - Org Name:DIABETIC CARE SERVICES & PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:D
Authorized Official - Last Name:WOLF
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:440-954-7709
Mailing Address - Street 1:34099 MELINZ PKWY
Mailing Address - Street 2:UNIT F1
Mailing Address - City:EASTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44095-4041
Mailing Address - Country:US
Mailing Address - Phone:440-954-7709
Mailing Address - Fax:440-954-7705
Practice Address - Street 1:34099 MELINZ PKWY
Practice Address - Street 2:UNIT F1
Practice Address - City:EASTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44095-4041
Practice Address - Country:US
Practice Address - Phone:440-954-7709
Practice Address - Fax:440-954-7705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
OH0205815003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0726058Medicaid
OH020581500OtherOHIO ST. BD. PHARMACY
OH0729180Medicaid
3650961OtherNCPDP
3650961OtherNCPDP
OHBC1764910OtherDEA REGISTRATION NO.
OH0726058Medicaid