Provider Demographics
NPI:1912981838
Name:CB THIEL & ASSOCIATES INC., DBA HEALTH CARE PLUS
Entity Type:Organization
Organization Name:CB THIEL & ASSOCIATES INC., DBA HEALTH CARE PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF CORPORATE SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:KARY
Authorized Official - Middle Name:
Authorized Official - Last Name:PHELPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-373-9446
Mailing Address - Street 1:200 PUTNAM ST
Mailing Address - Street 2:SUITE 800
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-3005
Mailing Address - Country:US
Mailing Address - Phone:740-373-9446
Mailing Address - Fax:740-373-7074
Practice Address - Street 1:470 OLDE WORTHINGTON RD STE 200
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-9127
Practice Address - Country:US
Practice Address - Phone:614-340-7587
Practice Address - Fax:614-340-7588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-05
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH797147251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0900010Medicaid
OH0900010Medicaid
OH0900010Medicaid
OH367489Medicare ID - Type Unspecified