Provider Demographics
NPI:1992366835
Name:CARESMART HEALTHCARE AGENCY
Entity Type:Organization
Organization Name:CARESMART HEALTHCARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VAKEESHIA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:ARCHIBALD
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:330-849-0344
Mailing Address - Street 1:2766 MULL AVE APT E
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-2855
Mailing Address - Country:US
Mailing Address - Phone:330-849-0344
Mailing Address - Fax:
Practice Address - Street 1:2766 MULL AVE APT E
Practice Address - Street 2:
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321-2855
Practice Address - Country:US
Practice Address - Phone:330-849-0344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-21
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health