Provider Demographics
NPI:1952881237
Name:HH DIRECT HEALTH SERVICES LLC.
Entity Type:Organization
Organization Name:HH DIRECT HEALTH SERVICES LLC.
Other - Org Name:HH DIRECT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAZEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-470-4851
Mailing Address - Street 1:1243 RAFF RD SW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44710-1455
Mailing Address - Country:US
Mailing Address - Phone:330-768-7009
Mailing Address - Fax:
Practice Address - Street 1:1243 RAFF RD SW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44710-1455
Practice Address - Country:US
Practice Address - Phone:330-768-7009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-16
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH261QD1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3306854481OtherMOBILE