Healthcare Provider Details

I. General information

NPI: 1104022300
Provider Name (Legal Business Name): HOME HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 STOWE ST
HURON OH
44839
US

IV. Provider business mailing address

402 STOWE ST
HURON OH
44839
US

V. Phone/Fax

Practice location:
  • Phone: 419-656-7676
  • Fax:
Mailing address:
  • Phone: 419-656-7676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: MR. ANDREW NICHOLAS ORSHOSKI
Title or Position: OWNER
Credential:
Phone: 419-656-7676