Healthcare Provider Details
I. General information
NPI: 1205180312
Provider Name (Legal Business Name): REMEDY HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/29/2012
Last Update Date: 10/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1157 W MINER RD
MAYFIELD HEIGHTS OH
44124-1709
US
IV. Provider business mailing address
1157 W MINER RD
MAYFIELD HEIGHTS OH
44124-1709
US
V. Phone/Fax
- Phone: 440-708-6081
- Fax: 331-465-0020
- Phone: 440-708-6081
- Fax: 331-465-0020
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOEL
DAVID
SIMPSON
Title or Position: CEO
Credential:
Phone: 440-708-6081