Provider Demographics
NPI:1447020961
Name:OURCARE HOMECARE LLC
Entity type:Organization
Organization Name:OURCARE HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:REGINALD
Authorized Official - Middle Name:
Authorized Official - Last Name:NUBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-330-1047
Mailing Address - Street 1:289 ELM STREET
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44471
Mailing Address - Country:US
Mailing Address - Phone:330-330-1047
Mailing Address - Fax:
Practice Address - Street 1:289 ELM STREET
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44471
Practice Address - Country:US
Practice Address - Phone:330-330-1047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health