The Home Nurse LLC
In Home Supportive Care in Toledo, OH. Organization (NPI-2).
NPI number1013666858
StatusActive
Last updated in NPPESMar 21, 2022
Details
- NPI
- 1013666858
- Entity type
- Organization (NPI-2)
- Legal business name
- The Home Nurse LLC
- Organization subpart
- No
- Enumeration date
- Mar 21, 2022
- Certification date
- Mar 21, 2022
- Last updated
- Mar 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 372600000X | Adult Companion | – | – | |
| 374U00000X | Home Health Aide | – | – | |
| 376J00000X | Homemaker | – | – | |
| 163WA2000X | Registered Nurse, Administrator | – | – | |
| 251E00000X | Home Health | – | – |
Practice location
1224 Corbin RdToledo, OH 43612-2323
Phone 567-868-1192
Mailing address
1224 Corbin RdToledo, OH 43612-2323
Phone 567-868-1192
Authorized official
Keyara Roberts
Owner
5678681192
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