Provider Demographics
NPI:1588362198
Name:OVERTIMECARE , LLC
Entity type:Organization
Organization Name:OVERTIMECARE , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATIENT CARE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:ATABONG
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:440-318-1000
Mailing Address - Street 1:7160 CHAGRIN RD STE 135
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-1136
Mailing Address - Country:US
Mailing Address - Phone:440-318-1000
Mailing Address - Fax:440-318-1092
Practice Address - Street 1:7160 CHAGRIN RD STE 135
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-1136
Practice Address - Country:US
Practice Address - Phone:440-318-1000
Practice Address - Fax:440-318-1092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0607OtherOHIO DEPARTMENT OF HEALTH