Healthcare Provider Details

I. General information

NPI: 1932250099
Provider Name (Legal Business Name): TLC HOME HEALTH OF OHIO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 N SELTZER ST
CRESTLINE OH
44827-1402
US

IV. Provider business mailing address

203 N SELTZER ST
CRESTLINE OH
44827-1402
US

V. Phone/Fax

Practice location:
  • Phone: 419-683-3984
  • Fax: 419-683-3350
Mailing address:
  • Phone: 419-683-3984
  • Fax: 419-683-3350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DIANNA M STUMPF
Title or Position: OWNER, PRESIDENT
Credential: R.N.
Phone: 419-683-3984