Provider Demographics
NPI:1558149997
Name:CARE STREAM PLUS AGENCY LLC
Entity Type:Organization
Organization Name:CARE STREAM PLUS AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIANAH
Authorized Official - Middle Name:OLAJUMOKE
Authorized Official - Last Name:OGUNTUYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-868-3395
Mailing Address - Street 1:5340 E MAIN ST STE 206
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2574
Mailing Address - Country:US
Mailing Address - Phone:614-868-3395
Mailing Address - Fax:
Practice Address - Street 1:5340 E MAIN ST STE 206
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:OH
Practice Address - Zip Code:43213-2574
Practice Address - Country:US
Practice Address - Phone:614-868-3395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health