Healthcare Provider Details

I. General information

NPI: 1508743766
Provider Name (Legal Business Name): LIFE CARE HEALTH SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

741 COMMERCE DR STE A
PERRYSBURG OH
43551-5274
US

IV. Provider business mailing address

741 COMMERCE DR STE A
PERRYSBURG OH
43551-5274
US

V. Phone/Fax

Practice location:
  • Phone: 419-537-3495
  • Fax: 419-930-5787
Mailing address:
  • Phone: 419-537-3495
  • Fax: 419-930-5787

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: MOHAMMED ALSADAH
Title or Position: OWNER
Credential:
Phone: 419-537-3495