Healthcare Provider Details

I. General information

NPI: 1194915843
Provider Name (Legal Business Name): THC HOME CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2007
Last Update Date: 07/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12627 YORK RD
NORTH ROYALTON OH
44133-3616
US

IV. Provider business mailing address

12627 YORK RD
NORTH ROYALTON OH
44133-3616
US

V. Phone/Fax

Practice location:
  • Phone: 440-877-9510
  • Fax: 440-877-9513
Mailing address:
  • Phone: 440-877-9510
  • Fax: 440-877-9513

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: MRS. ANITA M PODLOGAR
Title or Position: DIRECTOR
Credential:
Phone: 440-877-9510