Care Stream Agency, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CARE STREAM AGENCY, LLC

Practice address

5340 E Main St Ste 206
Whitehall, OH 43213-2574

Phone

(614) 868-3395

NPI assigned

Aug 27, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Idowu Victor Oguntuyi

Title

Administrator

Phone

(614) 822-0041

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 369374

Legal name

CARE STREAM AGENCY LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 24, 2023

Last certification

Aug 24, 2023

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

in OH

Enrollment address

5340 E Main St
Ste 206
Whitehall, OH 43213-2574

Listed as

Care Stream Agency LLCCCN 369374

Ownership

Proprietary

Certified

Aug 24, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1518448570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 E MAIN ST STE 206",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432132574",
            "telephone_number": "614-868-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 E MAIN ST STE 206",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432132574",
            "telephone_number": "614-868-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE STREAM AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "OGUNTUYI",
        "authorized_official_first_name": "IDOWU",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-822-0041",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Whitehall, OH
• Providers in Whitehall, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.