Healthcare Provider Details

I. General information

NPI: 1023817491
Provider Name (Legal Business Name): SCR HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 PEARL RD STE 201
PARMA OH
44129-2537
US

IV. Provider business mailing address

3291 SHALE DR
TWINSBURG OH
44087-4929
US

V. Phone/Fax

Practice location:
  • Phone: 440-488-4895
  • Fax:
Mailing address:
  • Phone: 440-488-4895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MS. SHEENA C RENCHER
Title or Position: CEO, OWNER
Credential: RN
Phone: 440-485-0529