Provider Demographics
NPI:1477949980
Name:GOOD HANDS RELIABLE HOME CARE LLC
Entity Type:Organization
Organization Name:GOOD HANDS RELIABLE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RONISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-481-7505
Mailing Address - Street 1:503 E 200TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44119-1575
Mailing Address - Country:US
Mailing Address - Phone:216-481-7505
Mailing Address - Fax:
Practice Address - Street 1:503 E 200TH ST STE 102
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44119-1562
Practice Address - Country:US
Practice Address - Phone:216-481-7505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-10
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH201509000034251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health