=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760855134
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEIGHBORHOOD HOME HEALTH CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/07/2015
-----------------------------------------------------
Last Update Date | 11/07/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2999 PAYNE AVE #132
-----------------------------------------------------
City | CLEVELAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44114-4400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-539-0088
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 35264 SADDLE CRK
-----------------------------------------------------
City | AVON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44011-4908
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-802-2721
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | PETER R TSAI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 330-802-2721
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number | 2442474
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------