MED1CARE, LLC (NPI# 1770958829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770958829 |
| Entity Type | Organization |
| Organization Name | MED1CARE, LLC |
| Practice Address |
1225 Corporate Drive Suite B Holland OH 43528 |
| Practice Telephone | 4198660555 |
| Practice Fax Number | 4198660556 |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2016-01-29 |
| Authorized Official Name | QUINN BARLOW (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 4193601930 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251F00000X | Home Infusion | Agencies | ||
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3160583 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306057153 | Med1care, LLC | Home Health | 116 S Main St, Findlay, OH 45840-3424 | 2007-05-24 |
| Street Address |
1225 CORPORATE DRIVE SUITE B |
| City | HOLLAND |
| State | OH |
| Zip Code | 43528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542345 | Bobbi Stall | Technician | 1027 Raymil, Holland, OH 43528 | 2020-09-15 |
| 1336789049 | Diana Kobylak | Licensed Practical Nurse | Racing for Recovery, 6202 Trust Dr., Holland, OH 43528 | 2020-01-10 |
| 1982262291 | Raven Diane Hannah | Licensed Vocational Nurse | 350 South Irwin Rd, Holland, OH 43528 | 2019-06-01 |
| 1881163988 | Brandon Scott Smith | Counselor | 350 S Irwin Road, Holland, OH 43528 | 2018-11-19 |
| 1184199432 | Pamela Adrienne Wilson | Rehabilitation Counselor | 350 S. Irwin Road, Holland, OH 43528 | 2018-10-12 |
| 1023509460 | Shaunte Harris | Counselor | 350 S Irwin, Holland, OH 43528 | 2018-05-22 |
| 1982193314 | William Floyd Johnson | Counselor | 350 S. Irwin, Holland, OH 43528 | 2018-05-01 |
| 1174025100 | Samantha Hoelzer | Optometrist | 1460 Spring Meadows Drive, E100, Holland, OH 43528 | 2018-03-06 |
| 1780186262 | Vicki Gottfried | Community/Behavioral Health | 7015 Spring Meadows West Drive Suite 102, Holland, OH 43528 | 2018-03-01 |
| 1922519859 | Shaunta Marie Grier | Licensed Practical Nurse | 350 S Irwin Street, Holland, OH 43528 | 2017-10-18 |
| Find all providers in zip 43528 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568804169 | Lakeshore Senior Care LLC | Home Health | 320 N 120th Ave, Ste 230, Holland, MI 49424-2696 | 2013-07-24 |
| 1770869422 | Help With Love Agency | Home Health | 318 Wayne Ct, Holland, PA 18966-2761 | 2011-10-26 |
| 1154534394 | Chase - Edward Inc. | Home Health | 837 Maple Ave, Suite 20, Holland, MI 49423-7145 | 2007-05-07 |
| 1477629780 | Holland Community Hospital | Home Health | 750 E 40th St, Holland, MI 49423-5342 | 2006-11-28 |
| 1245305002 | Anne Grady Day Program | Home Health | 1645 Trade Rd, Holland, OH 43528-8204 | 2006-11-21 |
| 1437268281 | Universal Medical Staffing, Inc. | Home Health | 529 E 16th St, Holland, MI 49423-3993 | 2006-08-29 |
| 1659350403 | R & F Inc. | Home Health | 6228 Merger Dr, Holland, OH 43528-9593 | 2006-01-11 |
| 1821098476 | Atrio Home Health Lakeshore | Home Health | 948 Washington Ave, Holland, MI 49423-5205 | 2005-07-26 |
| 1790272771 | Diverse Home Health Care | Home Health | 729 Lincoln Ave, Holland, MI 49423-5428 | 2018-04-16 |
| 1477063204 | Chrysalis Services, LLC | Home Health | 501 Washington Ave, Holland, MI 49423-4170 | 2017-10-06 |
| Find all providers in HOLLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.