Healthcare Provider Details

I. General information

NPI: 1073842712
Provider Name (Legal Business Name): PALLADIUM HEALTHCARE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2009
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5994 DOWNS RD NW
WARREN OH
44481-9417
US

IV. Provider business mailing address

5994 DOWNS RD NW
WARREN OH
44481-9417
US

V. Phone/Fax

Practice location:
  • Phone: 216-598-8299
  • Fax: 216-598-8299
Mailing address:
  • Phone: 216-598-8299
  • Fax: 216-598-8299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number337958
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number337958
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number337958
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number337958
License Number StateOH

VIII. Authorized Official

Name: MRS. LAWANNA ANITA ELZY
Title or Position: CEO
Credential: RN
Phone: 216-598-8299