Provider Demographics
NPI:1346595600
Name:OHIO HOME HEALTH AIDES OF OHIO
Entity Type:Organization
Organization Name:OHIO HOME HEALTH AIDES OF OHIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:SHANTICE
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-213-8065
Mailing Address - Street 1:19401 BROOKFIELD LN
Mailing Address - Street 2:
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-7028
Mailing Address - Country:US
Mailing Address - Phone:216-213-8065
Mailing Address - Fax:
Practice Address - Street 1:19401 BROOKFIELD LN
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-7028
Practice Address - Country:US
Practice Address - Phone:216-213-8065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-23
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH253Z00000X253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care