Healthcare Provider Details

I. General information

NPI: 1104884923
Provider Name (Legal Business Name): JUST LIKE FAMILY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 11/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4432 PEARL RD
CLEVELAND OH
44109-4225
US

IV. Provider business mailing address

4432 PEARL RD
CLEVELAND OH
44109-4225
US

V. Phone/Fax

Practice location:
  • Phone: 440-888-0522
  • Fax: 440-888-0523
Mailing address:
  • Phone: 440-888-0522
  • Fax: 440-888-0523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. GERALDINE J. LANIGAN
Title or Position: ADMINISTRATOR/OWNER
Credential: RN
Phone: 440-888-0522