Provider Demographics
NPI:1003596784
Name:ALL CONQUER HEALTH CARE AGENCY LLC
Entity Type:Organization
Organization Name:ALL CONQUER HEALTH CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHIRDINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:GOLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-536-8340
Mailing Address - Street 1:5154 E 115TH ST
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-2868
Mailing Address - Country:US
Mailing Address - Phone:216-536-8340
Mailing Address - Fax:
Practice Address - Street 1:5154 E 115TH ST
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-2868
Practice Address - Country:US
Practice Address - Phone:216-536-8340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health