Provider Demographics
NPI:1467236208
Name:SHERL RESPITE CARE
Entity Type:Organization
Organization Name:SHERL RESPITE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHERLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:THORNHILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-445-0386
Mailing Address - Street 1:1834 VALCON AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43207-1673
Mailing Address - Country:US
Mailing Address - Phone:614-445-0386
Mailing Address - Fax:
Practice Address - Street 1:1834 VALCON AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43207-1673
Practice Address - Country:US
Practice Address - Phone:614-445-0386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care