Provider Demographics
NPI:1164873394
Name:CONVENIENT AT-HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:CONVENIENT AT-HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASSUMPTA
Authorized Official - Middle Name:NGOZI
Authorized Official - Last Name:NNAJI
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:419-490-3737
Mailing Address - Street 1:2321 WINTERSET DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-1256
Mailing Address - Country:US
Mailing Address - Phone:419-902-0835
Mailing Address - Fax:
Practice Address - Street 1:3935 HAVERHILL DR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43612-1243
Practice Address - Country:US
Practice Address - Phone:419-324-2298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-29
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care