Provider Demographics
NPI:1083958094
Name:REAL CARE HOME CARE LLC
Entity Type:Organization
Organization Name:REAL CARE HOME CARE LLC
Other - Org Name:REAL CARE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANISSA
Authorized Official - Middle Name:GAY
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:330-534-4284
Mailing Address - Street 1:29 JACKSON ST.
Mailing Address - Street 2:
Mailing Address - City:HUBBARD
Mailing Address - State:OH
Mailing Address - Zip Code:44425
Mailing Address - Country:US
Mailing Address - Phone:330-534-4284
Mailing Address - Fax:330-534-4284
Practice Address - Street 1:29 JACKSON ST.
Practice Address - Street 2:
Practice Address - City:HUBBARD
Practice Address - State:OH
Practice Address - Zip Code:44425
Practice Address - Country:US
Practice Address - Phone:330-534-4284
Practice Address - Fax:330-534-4284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2126414251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health