Provider Demographics
NPI:1740014646
Name:ICARE HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:ICARE HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AISHA
Authorized Official - Middle Name:O
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-596-0734
Mailing Address - Street 1:1150 MORSE RD STE 104
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-6327
Mailing Address - Country:US
Mailing Address - Phone:614-596-0734
Mailing Address - Fax:614-896-6032
Practice Address - Street 1:1150 MORSE RD STE 104
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-6327
Practice Address - Country:US
Practice Address - Phone:614-596-0734
Practice Address - Fax:614-896-6032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health