Provider Demographics
NPI:1639534639
Name:ERIN JOYS HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:ERIN JOYS HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:MACAIONE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:330-614-4093
Mailing Address - Street 1:9613 TABERNA LN
Mailing Address - Street 2:
Mailing Address - City:OLMSTED TWP
Mailing Address - State:OH
Mailing Address - Zip Code:44138-4260
Mailing Address - Country:US
Mailing Address - Phone:330-614-4093
Mailing Address - Fax:
Practice Address - Street 1:9613 TABERNA LN
Practice Address - Street 2:
Practice Address - City:OLMSTED TWP
Practice Address - State:OH
Practice Address - Zip Code:44138-4260
Practice Address - Country:US
Practice Address - Phone:330-614-4093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-18
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2832457Medicaid