Provider Demographics
NPI:1518620608
Name:ALMOST FAMILY OHIO LLC
Entity Type:Organization
Organization Name:ALMOST FAMILY OHIO LLC
Other - Org Name:ALMOST FAMILY LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCKENZIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-322-5329
Mailing Address - Street 1:100 IVANHILL RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-5238
Mailing Address - Country:US
Mailing Address - Phone:419-322-5329
Mailing Address - Fax:
Practice Address - Street 1:100 IVANHILL RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-5238
Practice Address - Country:US
Practice Address - Phone:419-322-5329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-15
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0002906Medicaid