Provider Demographics
NPI:1962815803
Name:HOMESENSE ENTERPRISES, LLC
Entity Type:Organization
Organization Name:HOMESENSE ENTERPRISES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:R
Authorized Official - Last Name:EISINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-785-9999
Mailing Address - Street 1:463 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44307-2533
Mailing Address - Country:US
Mailing Address - Phone:330-785-9999
Mailing Address - Fax:330-785-9901
Practice Address - Street 1:463 LOCUST ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307-2533
Practice Address - Country:US
Practice Address - Phone:330-785-9999
Practice Address - Fax:330-785-9901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH113782725OtherOHIO DEPARTMENT OF AGING
OH2658306Medicaid