Provider Demographics
NPI:1003435660
Name:MAGNET CARE HOME HEALTH LLC
Entity Type:Organization
Organization Name:MAGNET CARE HOME HEALTH LLC
Other - Org Name:MAGNET CARE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:TIBONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-382-4927
Mailing Address - Street 1:5928 HAWTHORNE RESERVES DR
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45044-5775
Mailing Address - Country:US
Mailing Address - Phone:513-382-4927
Mailing Address - Fax:513-447-6534
Practice Address - Street 1:5928 HAWTHORNE RESERVES DR
Practice Address - Street 2:
Practice Address - City:LIBERTY TWP
Practice Address - State:OH
Practice Address - Zip Code:45044-5775
Practice Address - Country:US
Practice Address - Phone:513-382-4927
Practice Address - Fax:513-447-6534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-14
Last Update Date:2021-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health