Provider Demographics
NPI:1134501752
Name:PROFESSIONAL HEALTH CARE LLC
Entity Type:Organization
Organization Name:PROFESSIONAL HEALTH CARE LLC
Other - Org Name:PARRISH HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:K
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-389-1020
Mailing Address - Street 1:PO BOX 8600
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-0600
Mailing Address - Country:US
Mailing Address - Phone:419-389-1020
Mailing Address - Fax:419-389-1300
Practice Address - Street 1:1515 S BYRNE RD
Practice Address - Street 2:SUITE 109
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-3458
Practice Address - Country:US
Practice Address - Phone:419-389-1020
Practice Address - Fax:419-389-1300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-19
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0150600Medicaid
OH0150600Medicaid