Provider Demographics
NPI:1891104519
Name:AGENCY OF CARE LLC
Entity Type:Organization
Organization Name:AGENCY OF CARE LLC
Other - Org Name:AGENCY OF CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER & CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:TODD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-319-6099
Mailing Address - Street 1:1716 NORMA RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-5671
Mailing Address - Country:US
Mailing Address - Phone:614-319-6099
Mailing Address - Fax:
Practice Address - Street 1:1716 NORMA RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-5671
Practice Address - Country:US
Practice Address - Phone:614-319-6099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management