Provider Demographics
NPI:1801421615
Name:MED HOME STAFFING LLC
Entity type:Organization
Organization Name:MED HOME STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-470-0334
Mailing Address - Street 1:3097 ALBION RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-2705
Mailing Address - Country:US
Mailing Address - Phone:216-470-0334
Mailing Address - Fax:216-400-7846
Practice Address - Street 1:3097 ALBION RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-2705
Practice Address - Country:US
Practice Address - Phone:216-470-0334
Practice Address - Fax:216-400-7846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-12
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health