Provider Demographics
NPI:1801405550
Name:DAYSPRING HOME HEALTHCARE COMPANY
Entity Type:Organization
Organization Name:DAYSPRING HOME HEALTHCARE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:OLUWASANMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-255-0301
Mailing Address - Street 1:11811 SHAKER BLVD STE 305
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-1960
Mailing Address - Country:US
Mailing Address - Phone:216-255-0301
Mailing Address - Fax:
Practice Address - Street 1:11811 SHAKER BLVD STE 305
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-1960
Practice Address - Country:US
Practice Address - Phone:216-255-0301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health