=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861603656
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SPECIALCAREHOMEHEALTHSERVICES,INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/24/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 910 TIFFIN AVE
-----------------------------------------------------
City | FINDLAY
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45840-5858
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-420-3535
-----------------------------------------------------
Fax | 419-420-3530
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 910 TIFFIN AVE
-----------------------------------------------------
City | FINDLAY
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45840-5858
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-420-3535
-----------------------------------------------------
Fax | 419-420-3530
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICEMANAGER
-----------------------------------------------------
Name | MRS. GLENDA JO KINN
-----------------------------------------------------
Credential | VICEPRESIDENT
-----------------------------------------------------
Telephone | 419-420-3535
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------