Provider Demographics
NPI:1801495551
Name:FOUR SEASONS HOME CARE
Entity type:Organization
Organization Name:FOUR SEASONS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:HUEBLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-731-0115
Mailing Address - Street 1:2556 PALMER LN
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-2044
Mailing Address - Country:US
Mailing Address - Phone:440-716-9100
Mailing Address - Fax:
Practice Address - Street 1:2556 PALMER LN
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-2044
Practice Address - Country:US
Practice Address - Phone:440-716-9100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-23
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health