Provider Demographics
NPI:1922724947
Name:CHARITABLE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:CHARITABLE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FREDOE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-673-6208
Mailing Address - Street 1:1003 MEADOW THRUSH DR
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45315-8722
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1003 MEADOW THRUSH DR
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:OH
Practice Address - Zip Code:45315-8722
Practice Address - Country:US
Practice Address - Phone:708-673-6208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health