Incare Health and Wellness, Northern Ohio

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

INCARE HEALTH AND WELLNESS, NORTHERN OHIO

Doing business as

Natl Church Res Home & Community Srvcs Northern Ohio Health & Wellness

Practice address

207 Portage Trail Extension West
Suite 100
Cuyahoga Falls, OH 44223

Phone

(330) 945-6950

Fax

(330) 945-6955

NPI assigned

Aug 31, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacci Nickell

Title

President

Phone

(614) 451-2151

Specialties & licenses 1

Addresses

Other names 1

• Natl Church Res Home & Community Srvcs Northern Ohio Health & Wellness Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1467685024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 N BANK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432205423",
            "telephone_number": "614-451-2151",
            "fax_number": "614-451-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PORTAGE TRAIL EXTENSION WEST",
            "address_2": "SUITE 100",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "44223",
            "telephone_number": "330-945-6950",
            "fax_number": "330-945-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCARE HEALTH AND WELLNESS, NORTHERN OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "NICKELL",
        "authorized_official_first_name": "JACCI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-451-2151"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natl Church Res Home & Community Srvcs Northern Ohio Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.