Healthcare Provider Details

I. General information

NPI: 1588089924
Provider Name (Legal Business Name): PROFESSIONAL HEALTHCARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2014
Last Update Date: 12/08/2021
Certification Date: 12/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10333 NORTHFIELD RD UNIT 74D
NORTHFIELD OH
44067-1471
US

IV. Provider business mailing address

466 NORTHFIELD RD # LL
BEDFORD OH
44146-2287
US

V. Phone/Fax

Practice location:
  • Phone: 330-990-0650
  • Fax: 330-777-8520
Mailing address:
  • Phone: 144-025-2711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KERRENA WILLIAMS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 330-990-0650