Provider Demographics
NPI:1558184879
Name:RED LION HOME CARE OHIO, INC.
Entity type:Organization
Organization Name:RED LION HOME CARE OHIO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STUART
Authorized Official - Middle Name:
Authorized Official - Last Name:RACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-571-5570
Mailing Address - Street 1:53 RITTENHOUSE PL
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-2209
Mailing Address - Country:US
Mailing Address - Phone:267-571-5570
Mailing Address - Fax:
Practice Address - Street 1:53 RITTENHOUSE PL
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-2209
Practice Address - Country:US
Practice Address - Phone:267-571-5570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care