Provider Demographics
NPI:1518174549
Name:HOME TOWN CARE LLC
Entity Type:Organization
Organization Name:HOME TOWN CARE LLC
Other - Org Name:COMMUNITY CAREGIVERS OF CUYAHOGA FALLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-926-1118
Mailing Address - Street 1:209 PORTAGE TRAIL EXT W
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-3621
Mailing Address - Country:US
Mailing Address - Phone:330-926-1118
Mailing Address - Fax:330-926-1131
Practice Address - Street 1:209 PORTAGE TRAIL EXT W
Practice Address - Street 2:SUITE 200
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-3621
Practice Address - Country:US
Practice Address - Phone:330-926-1118
Practice Address - Fax:330-926-1131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50084221251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH50084221OtherODA PROVIDER NUMBER