Provider Demographics
NPI:1073828422
Name:SENIOR HOMECARE UNLIMITED, LLC
Entity Type:Organization
Organization Name:SENIOR HOMECARE UNLIMITED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:R
Authorized Official - Last Name:FRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-444-6100
Mailing Address - Street 1:100 LIMING FARM RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT ORAB
Mailing Address - State:OH
Mailing Address - Zip Code:45154-8944
Mailing Address - Country:US
Mailing Address - Phone:937-444-6100
Mailing Address - Fax:937-444-7009
Practice Address - Street 1:100 LIMING FARM RD
Practice Address - Street 2:
Practice Address - City:MOUNT ORAB
Practice Address - State:OH
Practice Address - Zip Code:45154-8944
Practice Address - Country:US
Practice Address - Phone:937-444-6100
Practice Address - Fax:937-444-7009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-10
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health