Healthcare Provider Details

I. General information

NPI: 1013543529
Provider Name (Legal Business Name): GIFT HOME HEALTH CARE OF OH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2020
Last Update Date: 03/16/2020
Certification Date: 03/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1285 VANE AVE
AKRON OH
44310-3519
US

IV. Provider business mailing address

1285 VANE AVE
AKRON OH
44310-3519
US

V. Phone/Fax

Practice location:
  • Phone: 330-604-8462
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MONGAL YONGHANG
Title or Position: PRESIDENT
Credential:
Phone: 330-604-8462