Provider Demographics
NPI:1235207960
Name:PALLADIUM CARE INC.
Entity Type:Organization
Organization Name:PALLADIUM CARE INC.
Other - Org Name:HOMEWATCH CAREGIVERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:BONACUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-869-4663
Mailing Address - Street 1:71 BAKER BLVD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3639
Mailing Address - Country:US
Mailing Address - Phone:330-869-4663
Mailing Address - Fax:
Practice Address - Street 1:71 BAKER BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3639
Practice Address - Country:US
Practice Address - Phone:330-869-4663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health