Provider Demographics
NPI:1932777414
Name:ALL CARE RESIDENTIAL AND TRANSPORT SERVICES
Entity Type:Organization
Organization Name:ALL CARE RESIDENTIAL AND TRANSPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:S
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MBE
Authorized Official - Phone:740-307-8156
Mailing Address - Street 1:PO BOX 4354
Mailing Address - Street 2:
Mailing Address - City:IRONTON
Mailing Address - State:OH
Mailing Address - Zip Code:45638-4354
Mailing Address - Country:US
Mailing Address - Phone:740-307-8156
Mailing Address - Fax:
Practice Address - Street 1:381 COUNTY ROAD 169
Practice Address - Street 2:
Practice Address - City:PEDRO
Practice Address - State:OH
Practice Address - Zip Code:45659-8911
Practice Address - Country:US
Practice Address - Phone:740-307-8156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-11
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0378240Medicaid