Provider Demographics
NPI:1881607893
Name:AMERICARE HEALTH, PC
Entity type:Organization
Organization Name:AMERICARE HEALTH, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:IYORE
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:OJOMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-535-0400
Mailing Address - Street 1:1805 MILTON RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-2437
Mailing Address - Country:US
Mailing Address - Phone:704-535-0400
Mailing Address - Fax:704-535-3443
Practice Address - Street 1:1805 MILTON RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-2437
Practice Address - Country:US
Practice Address - Phone:704-535-0400
Practice Address - Fax:704-535-3443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89012WUMedicaid
NC012WUOtherBLUCROSS BLUESHIELD ID#
NC2343192BMedicare ID - Type UnspecifiedMEDICARE PROVIDER ID