Healthcare Provider Details

I. General information

NPI: 1356100150
Provider Name (Legal Business Name): ANOTHER PLACE TO CALL HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2024
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4880 S MAIN ST STE 1
AKRON OH
44319-4477
US

IV. Provider business mailing address

4880 S MAIN ST STE 1
AKRON OH
44319-4477
US

V. Phone/Fax

Practice location:
  • Phone: 234-294-0791
  • Fax:
Mailing address:
  • Phone: 234-294-0791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY OLIPHANT
Title or Position: OWNER
Credential:
Phone: 234-294-0781