Provider Demographics
NPI:1932444361
Name:NORTH CARE HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:NORTH CARE HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:BETANGA
Authorized Official - Middle Name:D
Authorized Official - Last Name:NZENGUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-633-0538
Mailing Address - Street 1:6400 EAST MAIN STREET
Mailing Address - Street 2:SUITE 202
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-9330
Mailing Address - Country:US
Mailing Address - Phone:614-633-0538
Mailing Address - Fax:614-633-0541
Practice Address - Street 1:6422 E MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-2379
Practice Address - Country:US
Practice Address - Phone:614-633-0538
Practice Address - Fax:614-633-0541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-12
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health