Provider Demographics
NPI:1174296719
Name:T & D HOMECARE LLC
Entity Type:Organization
Organization Name:T & D HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARISHATA
Authorized Official - Middle Name:
Authorized Official - Last Name:DDAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-598-4425
Mailing Address - Street 1:1127 REED AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-3048
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1127 REED AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-3048
Practice Address - Country:US
Practice Address - Phone:833-396-7546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-29
Last Update Date:2021-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health