Provider Demographics
NPI:1457007585
Name:CANDENCE HOMECARE SERVICES AGENCY
Entity Type:Organization
Organization Name:CANDENCE HOMECARE SERVICES AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CANDENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:PINKARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-544-8137
Mailing Address - Street 1:1460 E 204TH ST # UP
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1402
Mailing Address - Country:US
Mailing Address - Phone:216-544-8137
Mailing Address - Fax:
Practice Address - Street 1:1460 E 204TH ST # UP
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44117-1402
Practice Address - Country:US
Practice Address - Phone:216-544-8137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity HealthGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty