Provider Demographics
NPI:1215132808
Name:CONSULTING ACCREDITATION RESOURCE EDUCATORS, LLC
Entity type:Organization
Organization Name:CONSULTING ACCREDITATION RESOURCE EDUCATORS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALEXANDRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:NKRUMAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-949-3674
Mailing Address - Street 1:4030 MOUNT CARMEL TOBASCO RD
Mailing Address - Street 2:SUITE 307B
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-3400
Mailing Address - Country:US
Mailing Address - Phone:614-949-7952
Mailing Address - Fax:866-227-3515
Practice Address - Street 1:4030 MOUNT CARMEL TOBASCO RD
Practice Address - Street 2:SUITE 307B
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-3400
Practice Address - Country:US
Practice Address - Phone:614-949-7952
Practice Address - Fax:866-227-3515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2752347Medicaid