Healthcare Provider Details

I. General information

NPI: 1417560236
Provider Name (Legal Business Name): PURSUIT OF HEALTH HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2020
Last Update Date: 09/22/2022
Certification Date: 09/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

243 IVANHILL RD
TOLEDO OH
43615-5239
US

IV. Provider business mailing address

243 IVANHILL RD
TOLEDO OH
43615-5239
US

V. Phone/Fax

Practice location:
  • Phone: 419-704-9126
  • Fax:
Mailing address:
  • Phone: 419-704-9126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRELYNN S DANIELS
Title or Position: OWNER
Credential: MSN, RN
Phone: 419-704-9126