Provider Demographics
NPI:1033277280
Name:ANNA CARRIE HOME HEALTH CARE AND SERVICES, INC.
Entity Type:Organization
Organization Name:ANNA CARRIE HOME HEALTH CARE AND SERVICES, INC.
Other - Org Name:ANNIECARRIE HHC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C E O
Authorized Official - Prefix:MR
Authorized Official - First Name:REGENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-390-0881
Mailing Address - Street 1:26210 EMERY RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44128-5769
Mailing Address - Country:US
Mailing Address - Phone:216-514-4849
Mailing Address - Fax:216-514-4287
Practice Address - Street 1:26210 EMERY RD
Practice Address - Street 2:SUITE 103
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44128-5769
Practice Address - Country:US
Practice Address - Phone:216-514-4849
Practice Address - Fax:216-514-4287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1477924251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health