Provider Demographics
NPI:1073768180
Name:C&F HOME HEALTH SERVICE, LLC
Entity Type:Organization
Organization Name:C&F HOME HEALTH SERVICE, LLC
Other - Org Name:C&F HOME HEALTH SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:JANEEN
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-333-1156
Mailing Address - Street 1:156 BOHANNON CT
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-8004
Mailing Address - Country:US
Mailing Address - Phone:216-333-1156
Mailing Address - Fax:440-925-6340
Practice Address - Street 1:156 BOHANNON CT
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-8004
Practice Address - Country:US
Practice Address - Phone:216-333-1156
Practice Address - Fax:440-925-6340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2789059OtherODJFS MEDICAID PROVIDER NUMBER