Provider Demographics
NPI:1871160861
Name:GENCARE HEALTH SERVICES LLC
Entity type:Organization
Organization Name:GENCARE HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TEMILADE
Authorized Official - Middle Name:ALAKE
Authorized Official - Last Name:OSAYIMWEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-598-1131
Mailing Address - Street 1:436 IRVINE LOOP
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-7697
Mailing Address - Country:US
Mailing Address - Phone:740-513-4465
Mailing Address - Fax:
Practice Address - Street 1:436 IRVINE LOOP
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-7697
Practice Address - Country:US
Practice Address - Phone:740-513-4465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health