Provider Demographics
NPI:1679231716
Name:MYCARE LLC
Entity type:Organization
Organization Name:MYCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BHATTARAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-202-5837
Mailing Address - Street 1:10723 DOTY ROAD NW
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-9448
Mailing Address - Country:US
Mailing Address - Phone:319-202-5837
Mailing Address - Fax:
Practice Address - Street 1:10723 DOTY ROAD NW
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-9448
Practice Address - Country:US
Practice Address - Phone:319-202-5837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-06
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0000000Medicaid