Provider Demographics
NPI:1164652186
Name:HOME HEALTH CARE PLUS, LLC
Entity Type:Organization
Organization Name:HOME HEALTH CARE PLUS, LLC
Other - Org Name:NONE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:G
Authorized Official - Last Name:MCKENZIE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:740-417-4672
Mailing Address - Street 1:163 N SANDUSKY ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-1785
Mailing Address - Country:US
Mailing Address - Phone:740-417-4672
Mailing Address - Fax:740-417-4788
Practice Address - Street 1:163 N SANDUSKY ST
Practice Address - Street 2:SUITE 201
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-1785
Practice Address - Country:US
Practice Address - Phone:740-417-4672
Practice Address - Fax:740-417-4788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-24
Last Update Date:2009-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHHOME HEALTH AGENCYMedicare PIN