Provider Demographics
NPI:1720856123
Name:CONNECTCARE SERVICES LLC
Entity type:Organization
Organization Name:CONNECTCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANKU
Authorized Official - Middle Name:EMMANUEL
Authorized Official - Last Name:GOLLOH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:614-316-3129
Mailing Address - Street 1:700 MORSE RD STE 208
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1879
Mailing Address - Country:US
Mailing Address - Phone:614-525-9341
Mailing Address - Fax:614-316-3129
Practice Address - Street 1:700 MORSE RD STE 208
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-1879
Practice Address - Country:US
Practice Address - Phone:614-525-9341
Practice Address - Fax:614-396-6166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)