Provider Demographics
NPI:1518511781
Name:CONNECTCARE SERVICES LLC
Entity Type:Organization
Organization Name:CONNECTCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANKU
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLLOH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:614-316-3129
Mailing Address - Street 1:2898 POOLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-4663
Mailing Address - Country:US
Mailing Address - Phone:614-316-3129
Mailing Address - Fax:
Practice Address - Street 1:2898 POOLSIDE DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-4663
Practice Address - Country:US
Practice Address - Phone:614-316-3129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-26
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health