=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750397550
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RX HOME HEALTHCARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/01/2006
-----------------------------------------------------
Last Update Date | 05/31/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2020 CARNEGIE AVE
-----------------------------------------------------
City | CLEVELAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44115-2337
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-295-0056
-----------------------------------------------------
Fax | 216-295-0146
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2020 CARNEGIE AVE
-----------------------------------------------------
City | CLEVELAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44115-2337
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-295-0056
-----------------------------------------------------
Fax | 216-295-0146
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | MR. LEMMA M GETACHEW
-----------------------------------------------------
Credential | R.PH
-----------------------------------------------------
Telephone | 216-295-0056
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------