Provider Demographics
NPI:1578926234
Name:CARE FOR YOU HOME HEALTH CARE AGENCY LLC
Entity Type:Organization
Organization Name:CARE FOR YOU HOME HEALTH CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHATANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:234-334-0185
Mailing Address - Street 1:2801 COPLEY RD
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-2111
Mailing Address - Country:US
Mailing Address - Phone:234-334-0185
Mailing Address - Fax:234-281-0252
Practice Address - Street 1:2801 COPLEY RD
Practice Address - Street 2:
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321-2111
Practice Address - Country:US
Practice Address - Phone:234-334-0185
Practice Address - Fax:234-281-0252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-31
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No171000000XOther Service ProvidersMilitary Health Care ProviderGroup - Multi-Specialty
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0163891Medicaid