Provider Demographics
NPI:1114538667
Name:CONSISTENT CARE HOMECARE, LLC
Entity Type:Organization
Organization Name:CONSISTENT CARE HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ODESSA
Authorized Official - Middle Name:FAY
Authorized Official - Last Name:HAMMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-230-7352
Mailing Address - Street 1:737 N ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-4048
Mailing Address - Country:US
Mailing Address - Phone:419-230-7352
Mailing Address - Fax:
Practice Address - Street 1:737 N ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-4048
Practice Address - Country:US
Practice Address - Phone:419-230-7352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-10
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health