Provider Demographics
NPI:1881424240
Name:FOREVER IN OUR CARE RESIDENTIAL SERVICES. LLC
Entity type:Organization
Organization Name:FOREVER IN OUR CARE RESIDENTIAL SERVICES. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MISS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:COATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-327-7221
Mailing Address - Street 1:232 DANESMOOR RD
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43528-9512
Mailing Address - Country:US
Mailing Address - Phone:419-327-7221
Mailing Address - Fax:
Practice Address - Street 1:232 DANESMOOR RD
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528-9512
Practice Address - Country:US
Practice Address - Phone:419-327-7221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care