Provider Demographics
NPI:1235817966
Name:SHS LORAIN LLC
Entity Type:Organization
Organization Name:SHS LORAIN LLC
Other - Org Name:SENIORS HELPING SENIORS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RODERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWDLE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:740-751-7381
Mailing Address - Street 1:3776 NEWELL DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-7048
Mailing Address - Country:US
Mailing Address - Phone:740-751-7381
Mailing Address - Fax:
Practice Address - Street 1:1313 TAYLOR ST
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-6249
Practice Address - Country:US
Practice Address - Phone:440-935-3848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-11
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care