Provider Demographics
NPI:1518796424
Name:PORA IN-HOME CARE SERVICES
Entity type:Organization
Organization Name:PORA IN-HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RUDO
Authorized Official - Middle Name:
Authorized Official - Last Name:RWIZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-882-6971
Mailing Address - Street 1:8094 ASTER CT
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:45044-1235
Mailing Address - Country:US
Mailing Address - Phone:770-203-5008
Mailing Address - Fax:
Practice Address - Street 1:8094 ASTER CT
Practice Address - Street 2:
Practice Address - City:LIBERTY TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:45044-1235
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care