Provider Demographics
NPI:1083725576
Name:CONTINUUM HOME CARE, INC.
Entity Type:Organization
Organization Name:CONTINUUM HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF HOME HEALTH
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARA
Authorized Official - Middle Name:H
Authorized Official - Last Name:BERNSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-277-0505
Mailing Address - Street 1:1100 LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:ASHTABULA
Mailing Address - State:OH
Mailing Address - Zip Code:44004-2930
Mailing Address - Country:US
Mailing Address - Phone:440-964-3332
Mailing Address - Fax:440-964-7972
Practice Address - Street 1:1100 LAKE AVE
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-2930
Practice Address - Country:US
Practice Address - Phone:440-964-3332
Practice Address - Fax:440-964-7972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0574490Medicaid
OH367251Medicare Oscar/Certification
OH367251Medicare ID - Type UnspecifiedPORVIDER MEDICARE NUMBER