Provider Demographics
NPI:1336480672
Name:LAKE COUNTY AROUND THE CLOCK
Entity Type:Organization
Organization Name:LAKE COUNTY AROUND THE CLOCK
Other - Org Name:AROUND THE CLOCK HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ETTINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:440-350-2547
Mailing Address - Street 1:270 E MAIN ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PAINESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44077-3856
Mailing Address - Country:US
Mailing Address - Phone:440-350-2547
Mailing Address - Fax:440-350-1997
Practice Address - Street 1:270 E MAIN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:PAINESVILLE
Practice Address - State:OH
Practice Address - Zip Code:44077-3856
Practice Address - Country:US
Practice Address - Phone:440-350-2547
Practice Address - Fax:440-350-1997
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOME CARE OF LAKE COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility