Provider Demographics
NPI:1760192108
Name:STS HOMEHEALTH CARE SERVICES
Entity Type:Organization
Organization Name:STS HOMEHEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SIRINA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-587-9076
Mailing Address - Street 1:4204 4TH ST NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-3602
Mailing Address - Country:US
Mailing Address - Phone:336-587-9076
Mailing Address - Fax:
Practice Address - Street 1:4204 4TH ST NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-3602
Practice Address - Country:US
Practice Address - Phone:336-587-9076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health