Provider Demographics
NPI:1275248684
Name:DLL HOME CARE LLC
Entity Type:Organization
Organization Name:DLL HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/DOO
Authorized Official - Prefix:
Authorized Official - First Name:ALICEMAE
Authorized Official - Middle Name:
Authorized Official - Last Name:LIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-962-9944
Mailing Address - Street 1:932 KELLY AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-2816
Mailing Address - Country:US
Mailing Address - Phone:330-962-9944
Mailing Address - Fax:
Practice Address - Street 1:932 KELLY AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-2816
Practice Address - Country:US
Practice Address - Phone:330-962-9944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-19
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1215526413Medicaid