Provider Demographics
NPI:1639496789
Name:TRUSTED HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:TRUSTED HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSBY
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:216-761-2497
Mailing Address - Street 1:12808 DREXMORE RD
Mailing Address - Street 2:201
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-5609
Mailing Address - Country:US
Mailing Address - Phone:216-761-2497
Mailing Address - Fax:216-752-9645
Practice Address - Street 1:12808 DREXMORE RD
Practice Address - Street 2:201
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-5609
Practice Address - Country:US
Practice Address - Phone:216-761-2497
Practice Address - Fax:216-752-9645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2740298251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2740298Medicaid
OH2423434Medicaid
OH2740298Medicaid