Provider Demographics
NPI:1881666279
Name:RESERVE HOME HEALTH CARE
Entity Type:Organization
Organization Name:RESERVE HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST DIR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KILBANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-337-4656
Mailing Address - Street 1:15518 DETROIT AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-3832
Mailing Address - Country:US
Mailing Address - Phone:216-228-1177
Mailing Address - Fax:216-228-6093
Practice Address - Street 1:15518 DETROIT AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-3832
Practice Address - Country:US
Practice Address - Phone:216-228-1177
Practice Address - Fax:216-228-6093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-02
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health