Provider Demographics
NPI:1386856771
Name:HOME INFUSION CARE, INC.
Entity Type:Organization
Organization Name:HOME INFUSION CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CARRUTH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:440-205-0660
Mailing Address - Street 1:8250 BELLFLOWER RD
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-4211
Mailing Address - Country:US
Mailing Address - Phone:440-205-0660
Mailing Address - Fax:440-205-0127
Practice Address - Street 1:8250 BELLFLOWER RD
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-4211
Practice Address - Country:US
Practice Address - Phone:440-205-0660
Practice Address - Fax:440-205-0127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 142637251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion