Provider Demographics
NPI:1598717365
Name:DACAS NURSING SYSTEMS
Entity Type:Organization
Organization Name:DACAS NURSING SYSTEMS
Other - Org Name:FORUM HEALTH AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:SEELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, MS
Authorized Official - Phone:330-884-2541
Mailing Address - Street 1:3530 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44505-1400
Mailing Address - Country:US
Mailing Address - Phone:330-884-2530
Mailing Address - Fax:330-884-2526
Practice Address - Street 1:3530 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-1400
Practice Address - Country:US
Practice Address - Phone:330-884-2530
Practice Address - Fax:330-884-2526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0810199Medicaid