Provider Demographics
NPI:1043773419
Name:SAFE HOME CARE,LLC
Entity Type:Organization
Organization Name:SAFE HOME CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDIRZAQ
Authorized Official - Middle Name:A
Authorized Official - Last Name:SEID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-523-2141
Mailing Address - Street 1:3454 OAK ALLEY CT STE 104
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1354
Mailing Address - Country:US
Mailing Address - Phone:919-523-2141
Mailing Address - Fax:419-469-5998
Practice Address - Street 1:3454 OAK ALLEY CT STE 104
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1354
Practice Address - Country:US
Practice Address - Phone:919-523-2141
Practice Address - Fax:419-469-5998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0364875Medicaid