Healthcare Provider Details

I. General information

NPI: 1093494460
Provider Name (Legal Business Name): LIFE CARE HEALTH SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2023
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5242 ANGOLA RD STE 170
TOLEDO OH
43615-6336
US

IV. Provider business mailing address

5242 ANGOLA RD STE 170
TOLEDO OH
43615-6336
US

V. Phone/Fax

Practice location:
  • Phone: 419-537-3495
  • Fax:
Mailing address:
  • Phone: 419-537-3495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMED ALSADAH
Title or Position: OWNER
Credential:
Phone: 419-537-3495