Provider Demographics
NPI:1700291630
Name:MIDWEST HOME CARE LTD
Entity Type:Organization
Organization Name:MIDWEST HOME CARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JANIKIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-285-7950
Mailing Address - Street 1:916 PORTAGE TRL
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-3048
Mailing Address - Country:US
Mailing Address - Phone:330-920-9921
Mailing Address - Fax:330-920-9947
Practice Address - Street 1:916 PORTAGE TRL
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-3048
Practice Address - Country:US
Practice Address - Phone:330-920-9921
Practice Address - Fax:330-920-9947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-30
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health