Provider Demographics
NPI:1790962579
Name:HOMECARE NETWORK OF OHIO, INC
Entity Type:Organization
Organization Name:HOMECARE NETWORK OF OHIO, INC
Other - Org Name:ALPINE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NEETI
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, OTR/L
Authorized Official - Phone:419-636-9900
Mailing Address - Street 1:102 W. BRYAN ST.
Mailing Address - Street 2:HOMECARE NETWORK OF OHIO
Mailing Address - City:BRYAN
Mailing Address - State:OH
Mailing Address - Zip Code:43506
Mailing Address - Country:US
Mailing Address - Phone:419-331-3171
Mailing Address - Fax:440-331-3190
Practice Address - Street 1:7000 STATE ROUTE 88
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-9188
Practice Address - Country:US
Practice Address - Phone:440-331-3171
Practice Address - Fax:440-331-3190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3031392Medicaid