Healthcare Provider Details

I. General information

NPI: 1770225815
Provider Name (Legal Business Name): SURRVEYAH FAMILY TIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2022
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3502 MAGNOLIA DR
LORAIN OH
44053-1598
US

IV. Provider business mailing address

3502 MAGNOLIA DR
LORAIN OH
44053-1598
US

V. Phone/Fax

Practice location:
  • Phone: 216-377-2533
  • Fax:
Mailing address:
  • Phone: 216-377-2533
  • Fax:

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: DEANNA BISCHOFF
Title or Position: CEO
Credential:
Phone: 440-308-8216