Provider Demographics
NPI:1952032310
Name:URHOME, LLC
Entity Type:Organization
Organization Name:URHOME, LLC
Other - Org Name:THE TAYLOR COTTAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSEE
Authorized Official - Prefix:DR
Authorized Official - First Name:WENNIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:EARWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:614-746-5824
Mailing Address - Street 1:7752 TAYLOR DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-1446
Mailing Address - Country:US
Mailing Address - Phone:614-746-5824
Mailing Address - Fax:714-707-2008
Practice Address - Street 1:7752 TAYLOR DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-1446
Practice Address - Country:US
Practice Address - Phone:614-746-5824
Practice Address - Fax:714-707-2004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility