Healthcare Provider Details

I. General information

NPI: 1881475903
Provider Name (Legal Business Name): OCAL HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2023
Last Update Date: 12/07/2023
Certification Date: 12/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 BELDEN VILLAGE ST NW STE 600
CANTON OH
44718-3651
US

IV. Provider business mailing address

4150 BELDEN VILLAGE ST NW STE 600
CANTON OH
44718-3651
US

V. Phone/Fax

Practice location:
  • Phone: 330-417-7533
  • Fax:
Mailing address:
  • Phone: 330-417-7533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH ANN POSTLEWAITE
Title or Position: CHIEF NURSING OFFICER/CO OWNER
Credential: RN
Phone: 330-417-7533