Provider Demographics
NPI:1679866461
Name:JUST LIKE HOME, LLC
Entity Type:Organization
Organization Name:JUST LIKE HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-799-2500
Mailing Address - Street 1:27054 OAKWOOD DR
Mailing Address - Street 2:#111
Mailing Address - City:OLMSTED FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44138-3144
Mailing Address - Country:US
Mailing Address - Phone:216-799-2500
Mailing Address - Fax:
Practice Address - Street 1:27054 OAKWOOD DR
Practice Address - Street 2:#111
Practice Address - City:OLMSTED FALLS
Practice Address - State:OH
Practice Address - Zip Code:44138-3144
Practice Address - Country:US
Practice Address - Phone:216-799-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-26
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1816057253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3118898Medicaid