Provider Demographics
NPI:1700473014
Name:RISOR HOME SERVICES LLC
Entity Type:Organization
Organization Name:RISOR HOME SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATWIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRCHFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-283-0677
Mailing Address - Street 1:547 SCENIC CIR
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43528-8698
Mailing Address - Country:US
Mailing Address - Phone:419-283-0677
Mailing Address - Fax:
Practice Address - Street 1:4011 NEBRASKA AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43607-2235
Practice Address - Country:US
Practice Address - Phone:419-283-0677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health