=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851322796
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOME CARE RELIEF, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/06/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 753 E 200TH ST
-----------------------------------------------------
City | EUCLID
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44119-2504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-692-2279
-----------------------------------------------------
Fax | 216-692-2273
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 753 E 200TH ST
-----------------------------------------------------
City | EUCLID
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44119-2504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-692-2279
-----------------------------------------------------
Fax | 216-692-2273
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/ADMINISTRATOR
-----------------------------------------------------
Name | MS. DARLENE M KENNEDY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 216-692-2270
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------