Provider Demographics
NPI:1760855134
Name:NEIGHBORHOOD HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:NEIGHBORHOOD HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:R
Authorized Official - Last Name:TSAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-802-2721
Mailing Address - Street 1:35264 SADDLE CRK
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-4908
Mailing Address - Country:US
Mailing Address - Phone:330-802-2721
Mailing Address - Fax:
Practice Address - Street 1:2999 PAYNE AVE
Practice Address - Street 2:#132
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-4400
Practice Address - Country:US
Practice Address - Phone:216-539-0088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-07
Last Update Date:2015-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2442474253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2442474OtherSTATE OF OHIO CERTIFICATION