Provider Demographics
NPI:1922608991
Name:ARGONNE HOMES LLC
Entity Type:Organization
Organization Name:ARGONNE HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZENTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-354-1947
Mailing Address - Street 1:3852 ARGONNE ST
Mailing Address - Street 2:
Mailing Address - City:MOGADORE
Mailing Address - State:OH
Mailing Address - Zip Code:44260-1402
Mailing Address - Country:US
Mailing Address - Phone:330-628-9529
Mailing Address - Fax:
Practice Address - Street 1:3852 ARGONNE ST
Practice Address - Street 2:
Practice Address - City:MOGADORE
Practice Address - State:OH
Practice Address - Zip Code:44260-1402
Practice Address - Country:US
Practice Address - Phone:330-628-9529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No253J00000XAgenciesFoster Care Agency
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2770818Medicaid