Provider Demographics
NPI:1801418520
Name:SELECTIVE HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:SELECTIVE HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:MAGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-285-5771
Mailing Address - Street 1:12800 SHAKER BLVD STE 240B
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-2000
Mailing Address - Country:US
Mailing Address - Phone:216-710-0010
Mailing Address - Fax:216-751-1502
Practice Address - Street 1:12800 SHAKER BLVD STE 240B
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-2000
Practice Address - Country:US
Practice Address - Phone:216-710-0010
Practice Address - Fax:216-751-1502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-15
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health