Provider Demographics
NPI:1033298898
Name:SPECTRUM HOME CARE, INC
Entity Type:Organization
Organization Name:SPECTRUM HOME CARE, INC
Other - Org Name:CAPITAL HEALTH HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OF NETWORK SERVICES/TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARA
Authorized Official - Middle Name:HUFF
Authorized Official - Last Name:BERNSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-277-0505
Mailing Address - Street 1:3015 NEWMARK DR
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342
Mailing Address - Country:US
Mailing Address - Phone:937-277-0505
Mailing Address - Fax:937-278-4234
Practice Address - Street 1:3015 NEWMARK DR
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342
Practice Address - Country:US
Practice Address - Phone:937-279-0641
Practice Address - Fax:937-279-0860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
368234Medicare Oscar/Certification
368234Medicare PIN