Provider Demographics
NPI:1003253220
Name:ADVANCED HOME CARE OF OHIO INC
Entity Type:Organization
Organization Name:ADVANCED HOME CARE OF OHIO INC
Other - Org Name:HOMECAIRE OF OHIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:EPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-458-7000
Mailing Address - Street 1:4841 MONROE ST
Mailing Address - Street 2:SUITE 240
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-3527
Mailing Address - Country:US
Mailing Address - Phone:419-458-7000
Mailing Address - Fax:419-458-7777
Practice Address - Street 1:4841 MONROE ST
Practice Address - Street 2:SUITE 240
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623
Practice Address - Country:US
Practice Address - Phone:419-472-0059
Practice Address - Fax:419-472-0902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-29
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0300754Medicaid