Provider Demographics
NPI:1932533668
Name:AMEN MED-CARE, INC.
Entity Type:Organization
Organization Name:AMEN MED-CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BEN-COLLINS
Authorized Official - Middle Name:
Authorized Official - Last Name:UWAEZUOKE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:513-257-8485
Mailing Address - Street 1:230 NORTHLAND BLVD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3675
Mailing Address - Country:US
Mailing Address - Phone:513-257-8485
Mailing Address - Fax:513-771-3381
Practice Address - Street 1:230 NORTHLAND BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3675
Practice Address - Country:US
Practice Address - Phone:513-257-8485
Practice Address - Fax:513-771-3381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2852275Medicaid