Provider Demographics
NPI:1376181776
Name:ONE ON ONE HOMECARE AGENCY LLC
Entity type:Organization
Organization Name:ONE ON ONE HOMECARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:TOLEFACK
Authorized Official - Last Name:AZAP
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:216-280-5351
Mailing Address - Street 1:3594 BERKELEY LN
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-1362
Mailing Address - Country:US
Mailing Address - Phone:330-460-6041
Mailing Address - Fax:330-460-6042
Practice Address - Street 1:3594 BERKELEY LN
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:OH
Practice Address - Zip Code:44212-1362
Practice Address - Country:US
Practice Address - Phone:330-460-6041
Practice Address - Fax:330-460-6042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-16
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health