Healthcare Provider Details

I. General information

NPI: 1376436261
Provider Name (Legal Business Name): BOSS AT HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2025
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30600 AURORA RD SUITE 100
SOLON OH
44139
US

IV. Provider business mailing address

30600 AURORA RD SUITE 100
SOLON OH
44139
US

V. Phone/Fax

Practice location:
  • Phone: 440-850-0609
  • Fax:
Mailing address:
  • Phone: 440-850-0609
  • Fax:

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: STEFANIE NICOLE RICHARDSON
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 440-850-0609