Provider Demographics
NPI:1558725523
Name:TOLEDO HOMECARE
Entity Type:Organization
Organization Name:TOLEDO HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FATUMA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARQADLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-214-0200
Mailing Address - Street 1:4428 SECOR RD STE S1
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4264
Mailing Address - Country:US
Mailing Address - Phone:419-214-0200
Mailing Address - Fax:
Practice Address - Street 1:4428 SECOR RD STE S1
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-4264
Practice Address - Country:US
Practice Address - Phone:419-214-0200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH201606801882261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========OtherHOME HEALTHCARE