Provider Demographics
NPI:1932998630
Name:ONE SENIOR CARE OHIO LLC
Entity type:Organization
Organization Name:ONE SENIOR CARE OHIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:FELDMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-456-5433
Mailing Address - Street 1:100 STATE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507-1454
Mailing Address - Country:US
Mailing Address - Phone:814-456-5433
Mailing Address - Fax:
Practice Address - Street 1:2148 LAKE AVE
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-3436
Practice Address - Country:US
Practice Address - Phone:814-456-5433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONE SENIOR CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization