Healthcare Provider Details

I. General information

NPI: 1790622256
Provider Name (Legal Business Name): HOME AWAY FROM HOME ADULT DAY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6034 RED OAK DR
TOLEDO OH
43615-1855
US

IV. Provider business mailing address

6034 RED OAK DR
TOLEDO OH
43615-1855
US

V. Phone/Fax

Practice location:
  • Phone: 419-936-0226
  • Fax:
Mailing address:
  • Phone: 419-936-0226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KYNDRA N HAYES
Title or Position: CO-OWNER
Credential: RN
Phone: 419-936-0226