Provider Demographics
NPI:1154714590
Name:WE CARE HOMECARE
Entity type:Organization
Organization Name:WE CARE HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:FELECIA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:MCCRARY
Authorized Official - Suffix:
Authorized Official - Credentials:STNA
Authorized Official - Phone:330-974-2887
Mailing Address - Street 1:730 CALLIS DR
Mailing Address - Street 2:1019
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-1313
Mailing Address - Country:US
Mailing Address - Phone:330-974-2877
Mailing Address - Fax:
Practice Address - Street 1:6100 OAK TREE BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:INDEPENDENCE
Practice Address - State:OH
Practice Address - Zip Code:44131-2544
Practice Address - Country:US
Practice Address - Phone:330-974-2887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0074058Medicaid