Healthcare Provider Details
I. General information
NPI: 1124689351
Provider Name (Legal Business Name): AIDE FOR YOU, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/27/2019
Last Update Date: 04/21/2021
Certification Date: 04/21/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3131 EXECUTIVE PKWY STE 220
TOLEDO OH
43606-1327
US
IV. Provider business mailing address
3131 EXECUTIVE PKWY STE 220
TOLEDO OH
43606-1327
US
V. Phone/Fax
- Phone: 419-214-0111
- Fax: 567-661-1247
- Phone: 419-214-0111
- Fax: 567-661-1247
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
DONNA
MARTIN
Title or Position: PRESIDENT/CEO
Credential:
Phone: 419-214-0111