Provider Demographics
NPI:1770562597
Name:AMERICARE HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:AMERICARE HEALTH SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NEETI
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, OTR/L
Authorized Official - Phone:419-636-9900
Mailing Address - Street 1:102 W. BRYAN 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:419-636-9900
Mailing Address - Fax:419-636-9169
Practice Address - Street 1:1440 S BYRNE RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-2363
Practice Address - Country:US
Practice Address - Phone:419-472-5350
Practice Address - Fax:419-472-8340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-11
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH367262OtherMEDICARE ID
OH0830453Medicaid
OH2360814Medicaid
OH367262OtherMEDICARE ID