Provider Demographics
NPI:1952854226
Name:HOME TO YOU
Entity Type:Organization
Organization Name:HOME TO YOU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:R
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:330-850-5275
Mailing Address - Street 1:677 S DIAMOND ST
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-2877
Mailing Address - Country:US
Mailing Address - Phone:330-850-5275
Mailing Address - Fax:330-578-9064
Practice Address - Street 1:677 S DIAMOND ST
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-2877
Practice Address - Country:US
Practice Address - Phone:330-850-5275
Practice Address - Fax:330-578-9064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-03
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X
OH6704865251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0119414Medicaid