Healthcare Provider Details

I. General information

NPI: 1902317977
Provider Name (Legal Business Name): OGHOSA HOMECARE AND TRANSPORTATION SERVIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2017
Last Update Date: 10/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25701 N LAKELAND BLVD STE 206A
EUCLID OH
44132-2451
US

IV. Provider business mailing address

25701 N LAKELAND BLVD STE 206A
EUCLID OH
44132-2451
US

V. Phone/Fax

Practice location:
  • Phone: 216-261-0880
  • Fax: 216-261-3910
Mailing address:
  • Phone: 216-261-0880
  • Fax: 216-261-3910

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: ADESUWA E ASHLEY
Title or Position: OWNER
Credential:
Phone: 216-261-0880