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NPI Code Detail

MEDICARE: LIFE CARE HEALTH SERVICE LLC

MEDICARE: LIFE CARE HEALTH SERVICE LLC
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
1251E00000XHome Health Agency
2344600000XTaxi

Other Identifiers

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

General Provider Information

NPI Number : 1093494460
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFE CARE HEALTH SERVICE LLC
Provider Business Mailing Address
First Line : 5242 ANGOLA RD STE 170
Second Line :
City : TOLEDO
State : OH
Zip : 43615-6336
Country : US
Telephone Number : 419-537-3495
Fax Number :
Provider Business Practice Location Address
First Line : 5242 ANGOLA RD STE 170
Second Line :
City : TOLEDO
State : OH
Zip : 43615-6336
Country : US
Telephone Number : 419-537-3495
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MOHAMMED ALSADAH
Credential :
Telephone Number : 419-537-3495
Provider Enumeration Date : 07/13/2023
Last Update Date : 04/16/2026

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Directions to “LIFE CARE HEALTH SERVICE LLC ” Practice Location

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