Provider Demographics
NPI:1457184467
Name:WITHCARE LLC
Entity type:Organization
Organization Name:WITHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOO
Authorized Official - Prefix:
Authorized Official - First Name:CHAVIA
Authorized Official - Middle Name:T
Authorized Official - Last Name:PITTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-564-3079
Mailing Address - Street 1:2033 TENNYSON AVE NE
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-2686
Mailing Address - Country:US
Mailing Address - Phone:330-564-3079
Mailing Address - Fax:
Practice Address - Street 1:2033 TENNYSON AVE NE
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-2686
Practice Address - Country:US
Practice Address - Phone:330-564-3079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251X00000XAgenciesSupports Brokerage