Provider Demographics
NPI: | 1588069991 |
---|---|
Name: | RES-CARE OHIO, INC. |
Entity type: | Organization |
Organization Name: | RES-CARE OHIO, INC. |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | ASSOC. GEN. COUNSEL |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | DEENA |
Authorized Official - Middle Name: | G |
Authorized Official - Last Name: | OMBRES |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 502-394-2100 |
Mailing Address - Street 1: | 9901 LINN STATION RD |
Mailing Address - Street 2: | |
Mailing Address - City: | LOUISVILLE |
Mailing Address - State: | KY |
Mailing Address - Zip Code: | 40223-3808 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 502-394-2100 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 80 MILLER ST |
Practice Address - Street 2: | |
Practice Address - City: | CENTERBURG |
Practice Address - State: | OH |
Practice Address - Zip Code: | 43011-7023 |
Practice Address - Country: | US |
Practice Address - Phone: | 740-695-4931 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2014-10-28 |
Last Update Date: | 2015-12-28 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
OH | 4210642 | 315P00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 315P00000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Intellectual Disabilities |