Provider Demographics
NPI:1710374624
Name:MANUCARE, INC
Entity Type:Organization
Organization Name:MANUCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FLOYD
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-516-6443
Mailing Address - Street 1:520 S STATE ST
Mailing Address - Street 2:SUITE 137B
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2970
Mailing Address - Country:US
Mailing Address - Phone:614-726-6269
Mailing Address - Fax:
Practice Address - Street 1:520 S STATE ST
Practice Address - Street 2:SUITE 137B
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2970
Practice Address - Country:US
Practice Address - Phone:614-726-6269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-17
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33328251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health