Provider Demographics
NPI:1477391175
Name:HOME2FRED LLC
Entity type:Organization
Organization Name:HOME2FRED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-276-2588
Mailing Address - Street 1:270 NORTHLAND BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3629
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:513-829-0013
Practice Address - Street 1:270 NORTHLAND BLVD STE 107
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3629
Practice Address - Country:US
Practice Address - Phone:513-829-0729
Practice Address - Fax:513-829-0013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care