Healthcare Provider Details

I. General information

NPI: 1184016438
Provider Name (Legal Business Name): SBS HOME HELP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2015
Last Update Date: 02/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 PARK AVE W
MANSFIELD OH
44906-3020
US

IV. Provider business mailing address

800 PARK AVE W
MANSFIELD OH
44906-3020
US

V. Phone/Fax

Practice location:
  • Phone: 419-529-0445
  • Fax:
Mailing address:
  • Phone: 419-529-0445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. REBECCA ALANE ESLINGER
Title or Position: DIRECTOR
Credential:
Phone: 419-529-0445