Healthcare Provider Details

I. General information

NPI: 1750348512
Provider Name (Legal Business Name): BLANCHARD VALLEY HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 11/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15100 BIRCHAVEN LN
FINDLAY OH
45840-9773
US

IV. Provider business mailing address

15100 BIRCHAVEN LN
FINDLAY OH
45840-9773
US

V. Phone/Fax

Practice location:
  • Phone: 419-423-5351
  • Fax: 419-423-8967
Mailing address:
  • Phone: 419-423-5351
  • Fax: 419-423-8967

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 Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DAVID CYTLAK
Title or Position: VP FINANCE
Credential:
Phone: 419-423-5497