Provider Demographics
NPI:1619742285
Name:ONE POINT CARE SERVICES LLC
Entity Type:Organization
Organization Name:ONE POINT CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JACKY
Authorized Official - Middle Name:
Authorized Official - Last Name:RWAGASORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-563-9024
Mailing Address - Street 1:6871 BUHRSTONE LN
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-6620
Mailing Address - Country:US
Mailing Address - Phone:716-563-9024
Mailing Address - Fax:
Practice Address - Street 1:6871 BUHRSTONE LN
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-6620
Practice Address - Country:US
Practice Address - Phone:716-563-9024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-23
Last Update Date:2023-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities