Provider Demographics
NPI:1407159064
Name:CARE FIRST SERVICES,LLC
Entity Type:Organization
Organization Name:CARE FIRST SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:GODFREY
Authorized Official - Last Name:KILEO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-678-4087
Mailing Address - Street 1:PO BOX 29371
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-0371
Mailing Address - Country:US
Mailing Address - Phone:614-678-4087
Mailing Address - Fax:
Practice Address - Street 1:2206 S HAMILTON RD
Practice Address - Street 2:SUITE 113
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-3301
Practice Address - Country:US
Practice Address - Phone:614-678-4087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-20
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2918141Medicaid