Provider Demographics
NPI:1689849408
Name:HOME CARE PROFESSIONALS LLC
Entity Type:Organization
Organization Name:HOME CARE PROFESSIONALS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:RANDOLPH
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-836-8301
Mailing Address - Street 1:88 S PORTAGE PATH
Mailing Address - Street 2:SUITE 108
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44303-1023
Mailing Address - Country:US
Mailing Address - Phone:330-836-8301
Mailing Address - Fax:330-836-8305
Practice Address - Street 1:88 S PORTAGE PATH
Practice Address - Street 2:SUITE 108
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44303-1023
Practice Address - Country:US
Practice Address - Phone:330-836-8301
Practice Address - Fax:330-836-8305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health