Healthcare Provider Details

I. General information

NPI: 1609202217
Provider Name (Legal Business Name): TOLEDO HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2013
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4230 SECOR RD
TOLEDO OH
43623-4232
US

IV. Provider business mailing address

4230 SECOR RD
TOLEDO OH
43623-4232
US

V. Phone/Fax

Practice location:
  • Phone: 419-214-0200
  • Fax: 419-214-0180
Mailing address:
  • Phone: 419-214-0200
  • Fax: 419-214-0180

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: DHERGANE A FARAH
Title or Position: OWNER
Credential:
Phone: 419-214-0200