Provider Demographics
NPI:1659482164
Name:HOME HEALTH CARE OF STEUBENVILLE, INC
Entity Type:Organization
Organization Name:HOME HEALTH CARE OF STEUBENVILLE, INC
Other - Org Name:CARRIAGE INN HOME CARE AGENCY, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF HOME HEALTH
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARA
Authorized Official - Middle Name:H
Authorized Official - Last Name:BERNSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-277-0505
Mailing Address - Street 1:201 LURAY DR
Mailing Address - Street 2:SUITE 2 A
Mailing Address - City:WINTERSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43953-3973
Mailing Address - Country:US
Mailing Address - Phone:740-264-8815
Mailing Address - Fax:740-264-8825
Practice Address - Street 1:201 LURAY DR
Practice Address - Street 2:SUITE 2 A
Practice Address - City:WINTERSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43953-3973
Practice Address - Country:US
Practice Address - Phone:740-264-8815
Practice Address - Fax:740-264-8825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0515115Medicaid
OH367204Medicare Oscar/Certification
OH0515115Medicaid