Healthcare Provider Details

I. General information

NPI: 1891131108
Provider Name (Legal Business Name): LUXURY CARE HOMES LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2013
Last Update Date: 05/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2029 S BYRNE RD
TOLEDO OH
43614-5102
US

IV. Provider business mailing address

2029 S BYRNE RD
TOLEDO OH
43614-5102
US

V. Phone/Fax

Practice location:
  • Phone: 419-450-9314
  • Fax:
Mailing address:
  • Phone: 419-450-9314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateOH

VIII. Authorized Official

Name: MRS. MARY LOUISE ARRINGTON
Title or Position: OWNER
Credential:
Phone: 419-450-9314