Provider Demographics
NPI:1952592727
Name:RESOURCEFUL HOMECARE SVC
Entity Type:Organization
Organization Name:RESOURCEFUL HOMECARE SVC
Other - Org Name:RHS INC
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESA
Authorized Official - Middle Name:D
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-531-7266
Mailing Address - Street 1:1700 LONDON RD
Mailing Address - Street 2:1A
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112
Mailing Address - Country:US
Mailing Address - Phone:216-531-7266
Mailing Address - Fax:216-531-7288
Practice Address - Street 1:1700 LONDON RD
Practice Address - Street 2:1A
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112
Practice Address - Country:US
Practice Address - Phone:216-531-7266
Practice Address - Fax:216-531-7288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1807576251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2644259Medicare PIN