Provider Demographics
NPI:1285425009
Name:FOUNDATION HOME HEALTHCARE SERVICES
Entity type:Organization
Organization Name:FOUNDATION HOME HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOO
Authorized Official - Prefix:
Authorized Official - First Name:NICHOL
Authorized Official - Middle Name:R
Authorized Official - Last Name:PETRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-999-1998
Mailing Address - Street 1:2522 EASTGATE AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-1533
Mailing Address - Country:US
Mailing Address - Phone:330-999-1998
Mailing Address - Fax:
Practice Address - Street 1:2522 EASTGATE AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-1533
Practice Address - Country:US
Practice Address - Phone:330-999-1998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty