Provider Demographics
NPI:1154863413
Name:HELPING TO THRIVE HHA AGENCY
Entity Type:Organization
Organization Name:HELPING TO THRIVE HHA AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME HEALTH AID
Authorized Official - Prefix:
Authorized Official - First Name:TASHAE
Authorized Official - Middle Name:D
Authorized Official - Last Name:ACOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-326-3694
Mailing Address - Street 1:27251 BRUSH AVE
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44132-3849
Mailing Address - Country:US
Mailing Address - Phone:216-326-3694
Mailing Address - Fax:
Practice Address - Street 1:27251 BRUSH AVE
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-3849
Practice Address - Country:US
Practice Address - Phone:216-326-3694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-17
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251B00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health