Provider Demographics
NPI:1093241317
Name:NE OHIO HOMECARE
Entity Type:Organization
Organization Name:NE OHIO HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MIADZIELEC
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:440-853-5003
Mailing Address - Street 1:3556 LAUREL DR
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:OH
Mailing Address - Zip Code:44081-9778
Mailing Address - Country:US
Mailing Address - Phone:440-853-5003
Mailing Address - Fax:440-579-0246
Practice Address - Street 1:3556 LAUREL DR
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:OH
Practice Address - Zip Code:44081-9778
Practice Address - Country:US
Practice Address - Phone:440-853-5003
Practice Address - Fax:440-579-0246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-05
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health