Provider Demographics
NPI:1477589877
Name:AMERICARE HEALTHCARE SERVICES, INC
Entity Type:Organization
Organization Name:AMERICARE HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:NDUKWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-273-0086
Mailing Address - Street 1:1279 E DUBLIN GRANVILLE RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3300
Mailing Address - Country:US
Mailing Address - Phone:614-273-0086
Mailing Address - Fax:614-273-0158
Practice Address - Street 1:1279 E DUBLIN GRANVILLE RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3300
Practice Address - Country:US
Practice Address - Phone:614-273-0086
Practice Address - Fax:614-273-0158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2413963251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2413963Medicaid
OH368022Medicare ID - Type Unspecified