Provider Demographics
NPI:1598102568
Name:CAREPLUS HOME HEALTHCARE
Entity Type:Organization
Organization Name:CAREPLUS HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DORENE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:TENORIO
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR (LPN)
Authorized Official - Phone:937-327-3907
Mailing Address - Street 1:802 N. LIMESTONE ST
Mailing Address - Street 2:
Mailing Address - City:SPFLD
Mailing Address - State:OH
Mailing Address - Zip Code:45503
Mailing Address - Country:US
Mailing Address - Phone:937-327-3907
Mailing Address - Fax:937-327-9141
Practice Address - Street 1:802 N. LIMESTONE ST
Practice Address - Street 2:
Practice Address - City:SPFLD
Practice Address - State:OH
Practice Address - Zip Code:45503
Practice Address - Country:US
Practice Address - Phone:937-327-3907
Practice Address - Fax:937-327-9141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-30
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH163WH0200X, 164W00000X, 374U00000X, 376J00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0097610Medicaid