Provider Demographics
NPI:1922214998
Name:PREMIER CAREGIVERS OF NORTHERN OHIO
Entity Type:Organization
Organization Name:PREMIER CAREGIVERS OF NORTHERN OHIO
Other - Org Name:COMMUNITY CAREGIVERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LESLI
Authorized Official - Last Name:LINGENHOEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-305-1300
Mailing Address - Street 1:3976A FULTON DR NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-3043
Mailing Address - Country:US
Mailing Address - Phone:330-305-1300
Mailing Address - Fax:330-305-9645
Practice Address - Street 1:3976A FULTON DR NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-3043
Practice Address - Country:US
Practice Address - Phone:330-305-1300
Practice Address - Fax:330-305-9645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH200534903316251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health