Provider Demographics
NPI:1457643322
Name:ONE CARE, INC
Entity Type:Organization
Organization Name:ONE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MATUTU
Authorized Official - Middle Name:
Authorized Official - Last Name:NYABANGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-501-3043
Mailing Address - Street 1:8400 BUSTLETON AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-1918
Mailing Address - Country:US
Mailing Address - Phone:240-501-3043
Mailing Address - Fax:301-495-0318
Practice Address - Street 1:8400 BUSTLETON AVE STE 5
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-1918
Practice Address - Country:US
Practice Address - Phone:240-501-3043
Practice Address - Fax:301-495-0318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0012251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health