Provider Demographics
NPI:1750166104
Name:MYERS PCAH CARES LLC
Entity type:Organization
Organization Name:MYERS PCAH CARES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:CAROLINA
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-465-6007
Mailing Address - Street 1:220 W MARKET ST STE 180
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-4820
Mailing Address - Country:US
Mailing Address - Phone:419-603-4663
Mailing Address - Fax:
Practice Address - Street 1:220 W MARKET ST STE 180
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-4820
Practice Address - Country:US
Practice Address - Phone:419-603-4663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-25
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health