Provider Demographics
NPI:1821531542
Name:HOME HEALTH CARE BY CALLOS LLC
Entity Type:Organization
Organization Name:HOME HEALTH CARE BY CALLOS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AREA MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-499-1299
Mailing Address - Street 1:4486 DRESSLER RD NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2716
Mailing Address - Country:US
Mailing Address - Phone:330-499-1299
Mailing Address - Fax:330-499-1315
Practice Address - Street 1:4486 DRESSLER RD NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2716
Practice Address - Country:US
Practice Address - Phone:330-499-1299
Practice Address - Fax:330-499-1315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-29
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health