Provider Demographics
NPI:1982635603
Name:AMERICARE HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:AMERICARE HEALTH SERVICES LLC
Other - Org Name:AMERICARE MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NEETI
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR OCCUPA
Authorized Official - Phone:419-636-2702
Mailing Address - Street 1:121 E SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:OH
Mailing Address - Zip Code:43506
Mailing Address - Country:US
Mailing Address - Phone:419-636-2702
Mailing Address - Fax:419-636-6460
Practice Address - Street 1:121 E SOUTH ST
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:OH
Practice Address - Zip Code:43506
Practice Address - Country:US
Practice Address - Phone:419-636-2702
Practice Address - Fax:419-636-6460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH86015660332B00000X
OH89653722332B00000X
OH20015053332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2433834Medicaid
4649240001Medicare ID - Type Unspecified
OH2433834Medicaid