Provider Demographics
NPI:1609285287
Name:DOCTOR'S CARE HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:DOCTOR'S CARE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KALPENA
Authorized Official - Middle Name:
Authorized Official - Last Name:VISHNUPAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-231-3735
Mailing Address - Street 1:1458 CLEAR BROOK DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45440-4317
Mailing Address - Country:US
Mailing Address - Phone:937-231-3735
Mailing Address - Fax:
Practice Address - Street 1:1458 CLEAR BROOK DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45440-4317
Practice Address - Country:US
Practice Address - Phone:937-231-3735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-07
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35073908251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health