Provider Demographics
NPI:1134867476
Name:VASHTI HOME HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:VASHTI HOME HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEMETRIA
Authorized Official - Middle Name:RENAE
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:330-812-4505
Mailing Address - Street 1:839 E MARKET ST STE 215
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-2460
Mailing Address - Country:US
Mailing Address - Phone:330-812-4505
Mailing Address - Fax:
Practice Address - Street 1:3757 CLEVELAND AVE NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44709-2374
Practice Address - Country:US
Practice Address - Phone:234-888-7040
Practice Address - Fax:234-888-7476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health