Provider Demographics
NPI:1578331047
Name:PARRISH AT HOME LLC
Entity Type:Organization
Organization Name:PARRISH AT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RENEESHA
Authorized Official - Middle Name:D
Authorized Official - Last Name:PARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:419-576-7600
Mailing Address - Street 1:2232 CENTENNIAL RD
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA TWP
Mailing Address - State:OH
Mailing Address - Zip Code:43617-1870
Mailing Address - Country:US
Mailing Address - Phone:419-537-7600
Mailing Address - Fax:419-537-7601
Practice Address - Street 1:2232 CENTENNIAL RD
Practice Address - Street 2:
Practice Address - City:SYLVANIA TWP
Practice Address - State:OH
Practice Address - Zip Code:43617-1870
Practice Address - Country:US
Practice Address - Phone:419-537-7600
Practice Address - Fax:419-537-7601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care