Provider Demographics
NPI:1033836853
Name:BOCARE LLC
Entity Type:Organization
Organization Name:BOCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AMBROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEBBIE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:614-285-9339
Mailing Address - Street 1:6253 SHARON WOODS BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-2145
Mailing Address - Country:US
Mailing Address - Phone:614-285-9339
Mailing Address - Fax:
Practice Address - Street 1:6253 SHARON WOODS BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-2145
Practice Address - Country:US
Practice Address - Phone:614-285-9339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health