Provider Demographics
NPI:1568704294
Name:WEST SIDE DEUTSCHER FRAUEN VEREIN
Entity Type:Organization
Organization Name:WEST SIDE DEUTSCHER FRAUEN VEREIN
Other - Org Name:ALTENHEIM HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:PSOTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-238-3361
Mailing Address - Street 1:18627 SHURMER RD
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-6150
Mailing Address - Country:US
Mailing Address - Phone:440-638-3186
Mailing Address - Fax:
Practice Address - Street 1:18627 SHURMER RD
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-6150
Practice Address - Country:US
Practice Address - Phone:440-638-3186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-20
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH369086Medicare PIN
OH0423769Medicaid