Provider Demographics
NPI:1518161405
Name:SANCTUARY SKILLED HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:SANCTUARY SKILLED HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-239-4474
Mailing Address - Street 1:PO BOX 345
Mailing Address - Street 2:
Mailing Address - City:SHARON CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:44274
Mailing Address - Country:US
Mailing Address - Phone:330-239-4480
Mailing Address - Fax:330-239-6224
Practice Address - Street 1:1360 YAUGER RD
Practice Address - Street 2:
Practice Address - City:MT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-9272
Practice Address - Country:US
Practice Address - Phone:866-873-0323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health