MEDICARE: PREMIER CAREGIVERS OF NORTHERN OHIO INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093009771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER CAREGIVERS OF NORTHERN OHIO INC.

Provider Business Mailing Address
First Line	:	8336 CLEVELAND AVE NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-4820
Country	:	US
Telephone Number	:	330-877-8900
Fax Number	:	330-877-9400

Provider Business Practice Location Address
First Line	:	8336 CLEVELAND AVE NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-4820
Country	:	US
Telephone Number	:	330-877-8900
Fax Number	:	330-877-9400

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. ANGELA AMENDOLA
Credential	:
Telephone Number	:	330-877-8900

Provider Enumeration Date	:	05/31/2011
Last Update Date	:	08/10/2021

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