Provider Demographics
NPI:1558970699
Name:I CARE HEALTHCARE LLC
Entity Type:Organization
Organization Name:I CARE HEALTHCARE LLC
Other - Org Name:ICARE HOME HEALTH LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CIERA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-795-5757
Mailing Address - Street 1:2490 LEE BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-1271
Mailing Address - Country:US
Mailing Address - Phone:216-795-4747
Mailing Address - Fax:216-245-3607
Practice Address - Street 1:2490 LEE BLVD STE 300
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-1271
Practice Address - Country:US
Practice Address - Phone:216-795-4747
Practice Address - Fax:216-245-3607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-24
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH75947045Medicaid