Provider Demographics
NPI:1851322796
Name:HOME CARE RELIEF, INC.
Entity type:Organization
Organization Name:HOME CARE RELIEF, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-692-2270
Mailing Address - Street 1:753 E 200TH ST
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44119-2504
Mailing Address - Country:US
Mailing Address - Phone:216-692-2279
Mailing Address - Fax:216-692-2273
Practice Address - Street 1:753 E 200TH ST
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44119-2504
Practice Address - Country:US
Practice Address - Phone:216-692-2279
Practice Address - Fax:216-692-2273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH25716136Medicaid
OH25716136Medicaid