Provider Demographics
NPI:1073839023
Name:AMEN MED-CARE, LLC
Entity Type:Organization
Organization Name:AMEN MED-CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BEN-COLLINS
Authorized Official - Middle Name:
Authorized Official - Last Name:UWAEZUOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-236-5185
Mailing Address - Street 1:280 NORTHLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3614
Mailing Address - Country:US
Mailing Address - Phone:513-236-5185
Mailing Address - Fax:513-771-3381
Practice Address - Street 1:280 NORTHLAND BLVD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3614
Practice Address - Country:US
Practice Address - Phone:513-236-5185
Practice Address - Fax:513-771-3381
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OPTIMISTIC MEDICAL EQUIPMENT SUPPLY SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-15
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2852275Medicaid